NPIMap

Individual provider Active NPI

Kaylene Barrera, MD

  • Surgery Physician
  • Wildomar, CA
National Provider Identifier
1467747188
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A155585 Issued in CA
Practice address
36320 Inland Valley Dr Ste 101a
Wildomar, CA 92595-7512
Phone
(951) 698-3000
Fax
(951) 698-7700
NPI assigned
Jun 10, 2011
Last updated
Aug 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A155585 CA Primary

Addresses

Primary practice location

36320 Inland Valley Dr Ste 101a
Wildomar, CA 92595-7512

Mailing address

36320 Inland Valley Dr Ste 101a
Wildomar, CA 92595-7512
Phone (951) 698-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180711002118 CA Practitioner - General SurgeryPractitioner - Other (Physician) 7113273822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Southern California Keck School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Murrieta Valley Surgery Associates Medical Group Inc ApcGroup PAC ID 6002136926, 16 clinicians
Inland Valley Trauma and Acute Care Surgery Apc IncGroup PAC ID 9830444751, 11 clinicians

Practice addresses (Care Compare)

36320 Inland Valley Dr
Wildomar, CA 92595-7512
Phone (951) 698-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A155585CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Valley Trauma and Acute Care Surgery Apc Inc Surgery CurrentSince Aug 24, 2019 Accepting new patients
Murrieta Valley Surgery Associates Medical Group, Inc, Apc Surgery CurrentSince May 24, 2019 Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

830 Magnolia Ave
Ste 1
Corona, CA 92879

3853 W Stetson Ave
Ste 105
Hemet, CA 92545

31537 Rancho Pueblo Rd
Ste 202
Temecula, CA 92592
Phone (951) 698-3000

36320 Inland Valley Dr
Ste 101
Wildomar, CA 92595
Phone (951) 600-3811

36320 Inland Valley Dr
Ste 101A
Wildomar, CA 92595
Phone 9516983000 ext. 304

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kbarrera267030@direct.llu.edu

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1467747188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36320 INLAND VALLEY DR STE 101A",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957512",
            "telephone_number": "951-698-3000",
            "fax_number": "951-698-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36320 INLAND VALLEY DR STE 101A",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957512",
            "telephone_number": "951-698-3000",
            "fax_number": "951-698-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRERA",
        "first_name": "KAYLENE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A155585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildomar, CA

Sources for this page

Verify at the official NPI Registry.