Active NPI
Purificacion-Hency Barbaza Marquez, M.D.
- Psychiatry Physician
- Patton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A79776
- Practice address
- 3102 E. Highland Avenue
Medical Staff Office
Patton, CA 92369 - Phone
- (909) 425-7679
- Fax
- (909) 425-6635
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A79776 | CA | Primary |
Addresses
Primary practice location
3102 E. Highland Avenue
Medical Staff Office
Patton, CA 92369
Mailing address
3102 E. Highland Avenue
Medical Staff Office
Patton, CA 92369
Phone (909) 425-7679
Other names 1
- Purificacion Barbaza Marquez
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A79776 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ehab Yacoub MD Inc. | Current | Accepting new patients | |
| County of Stanislaus | Current | Accepting new patients | |
| County of Stanislaus | Current | Accepting new patients | |
| County of Stanislaus | Current | Accepting new patients | |
| County of Stanislaus | Current | Accepting new patients | |
| County of Stanislaus | Current | Accepting new patients | |
| JMJ Therapea Corporation | Past | Accepting new patients |
Locations
1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113
800 Scenic Dr
Modesto, CA 95350
Phone (209) 525-5369
500 N 9th St
Ste B
Modesto, CA 95350
Phone (209) 341-1824
500 N 9th St
Ste A
Modesto, CA 95350
Phone (209) 525-5300
17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929
2101 Geer Rd
Ste 120
Turlock, CA 95382
Phone (209) 558-4598
Interoperability endpoints
- purificacion.marquez.p1@direct.scfhc.nextgenshare.com
Organizations & group practices 7
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.
-
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1023681301
-
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1154524445
-
- Clinic/Center
- Turlock, CA
- NPI 1831394998
-
- Child & Adolescent Psychiatry Physician
- Gardena, CA
- NPI 1417373713
-
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1578691903
-
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1902765993
-
- Home Health Agency
- Diamond Bar, CA
- NPI 1629023585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411344000000",
"number": "1457303232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3102 E. HIGHLAND AVENUE",
"address_2": "MEDICAL STAFF OFFICE",
"city": "PATTON",
"state": "CA",
"postal_code": "92369",
"telephone_number": "909-425-7679",
"fax_number": "909-425-6635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3102 E. HIGHLAND AVENUE",
"address_2": "MEDICAL STAFF OFFICE",
"city": "PATTON",
"state": "CA",
"postal_code": "92369",
"telephone_number": "909-425-7679",
"fax_number": "909-425-6635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUEZ",
"first_name": "PURIFICACION-HENCY",
"middle_name": "BARBAZA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2014-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A79776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PURIFICACION",
"last_name": "MARQUEZ",
"middle_name": "BARBAZA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Patton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.