Individual provider Active NPI

Barbara L. Persons, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Lafayette, CA
National Provider Identifier
1467484246
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
A64843 Issued in CA
Practice address
911 Moraga Rd
Suite 205
Lafayette, CA 94549-4500
Phone
(925) 283-4012
Fax
(925) 283-4847
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X A64843 CA Primary
Plastic and Reconstructive Surgery Physician 2086S0122X 14556 NV
Plastic and Reconstructive Surgery Physician 2086S0122X 18999 MS

Addresses

Primary practice location

911 Moraga Rd
Suite 205
Lafayette, CA 94549-4500

Mailing address

911 Moraga Rd
Suite 205
Lafayette, CA 94549-4500
Phone (925) 283-4012

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
I20100913000298 CA Practitioner - Plastic and Reconstructive Surgery 0749204253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Vermont College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

911 Moraga Rd
Suite 205
Lafayette, CA 94549-4500
Phone (925) 283-4012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64843CAMDPharmacist
A64843CAMDPlastic and Reconstructive Surgery Physician
18999MSMDPlastic and Reconstructive Surgery Physician
14556NVMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cosmetic & Reconstructive Surgery Center Current Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Persons Plastic Surgery, Inc. CurrentSince Aug 4, 2010 Accepting new patients
John Muir Trauma Physicians Billing Service Plastic and Reconstructive Surgery CurrentSince Oct 12, 2011 Accepting new patients
Keystone Medical Services of Ms, Inc Past Accepting new patients
Marion General Hospital Past Accepting new patients
University Surgery Associates, PLLC Past Accepting new patients

Locations

911 Moraga Rd
Ste 205
Lafayette, CA 94549
Phone (925) 283-4012

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359676800000",
    "number": "1467484246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 MORAGA RD",
            "address_2": "SUITE 205",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494500",
            "telephone_number": "925-283-4012",
            "fax_number": "925-283-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 MORAGA RD",
            "address_2": "SUITE 205",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494500",
            "telephone_number": "925-283-4012",
            "fax_number": "925-283-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSONS",
        "first_name": "BARBARA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2013-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A64843",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NV",
            "license": "14556",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MS",
            "license": "18999",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

Verify at the official NPI Registry.