Active NPI
Kenyatta Barnes, MD
- Family Medicine Physician
- Ukiah, CA
National Provider Identifier
1447818984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A208748
- Practice address
- 415 Hospital Dr Ste a
Ukiah, CA 95482-4545 - Phone
- (707) 467-5222
- Fax
- (707) 467-5223
- NPI assigned
- May 30, 2019
- Last updated
- Apr 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A208748 | CA | Primary |
Addresses
Primary practice location
415 Hospital Dr Ste a
Ukiah, CA 95482-4545
Mailing address
415 Hospital Dr Ste a
Ukiah, CA 95482-4545
Phone (707) 467-5222
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of California, Davis School of Medicine, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
238 Hospital Dr
Suite a
Ukiah, CA 95482-4559
PO Box
Los Angeles, CA 90088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A208748 | CA | MD | Family Medicine Physician |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Hanford, CA
- NPI 1063718583
-
dba Adventist Health Ukiah Valley
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1447818984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 HOSPITAL DR STE A",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824545",
"telephone_number": "707-467-5222",
"fax_number": "707-467-5223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 HOSPITAL DR STE A",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824545",
"telephone_number": "707-467-5222",
"fax_number": "707-467-5223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "KENYATTA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-30",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A208748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.