Individual provider Active NPI

Jaime J Barea, M.D.

  • Clinical Biochemical Genetics Physician
  • Madera, CA
National Provider Identifier
1437471810
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Biochemical Genetics PhysicianTaxonomy code 207SG0202X
License
A111622 Issued in CA
Practice address
9300 Valley Childrens PL # Ge21
Madera, CA 93636-8761
Phone
(559) 353-6400
Fax
(559) 353-7213
NPI assigned
Feb 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X A111622 CA
Clinical Biochemical Genetics Physician 207SG0202X A111622 CA Primary

Addresses

Primary practice location

9300 Valley Childrens PL # Ge21
Madera, CA 93636-8761

Mailing address

3020 Childrens Way # Mc5031
San Diego, CA 92123-4223
Phone (858) 966-5840

Other practice location 1

7910 Frost St Ste 200
San Diego, CA 92123-2776
Phone (858) 966-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170120002330 CA Practitioner - Medical Genetics and GenomicsPractitioner - Pediatric Medicine 1153603436 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Jan 9, 2017 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Family Medicine CurrentSince Jan 9, 2017 Accepting new patients
Valley Children's Medical Group CurrentSince Feb 24, 2020 Accepting new patients
Marilyn Kaufhold, M.D., a Medical Corporation Past Accepting new patients
Children's Hospital Los Angeles PastSince Mar 22, 2020 Accepting new patients

Locations

5525 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 644-6600

9300 Valley Childrens Pl
#21
Madera, CA 93636
Phone (559) 353-6400

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1437471810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY # MC5031",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-966-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL # GE21",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-353-6400",
            "fax_number": "559-353-7213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7910 Frost St Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921232776",
            "country_code": "US",
            "telephone_number": "858-966-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAREA",
        "first_name": "JAIME",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-25",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "CA",
            "license": "A111622",
            "primary": false
        },
        {
            "code": "207SG0202X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Biochemical Genetics",
            "state": "CA",
            "license": "A111622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.