Robert Todd Barrett, M.D.
Individual provider Active NPI Surgery Physician · Fair Oaks, CA
NPI 1477597474 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1477597474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- C-041169 (CA)
- Practice address
- 7890 Magnolia Ave
Fair Oaks, CA 95628-7336 - Phone
- (916) 962-1988
- Fax
- (916) 962-1988
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41169 | CA | MD | Licensed Psychiatric Technician |
| C-041169 | CA | MD | Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C-041169 | CA | Yes |
Addresses
Primary practice location
7890 Magnolia Ave
Fair Oaks, CA 95628-7336
Mailing address
7890 Magnolia Ave
Fair Oaks, CA 95628-7336
Phone (916) 962-1988
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C411690 | Medicaid | CA |
Other providers in Fair Oaks, CA
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- Kehinde Paul Bankole
- Katie Arlene Baptist
- William L Bargar
- Sabrina Barnett
- Nataly Barron
- Barton Hall LLC
- Lori Leigh Bauer
- Rozina Bavarsade Omidi
- Bay Area Foot Care, Inc
All providers in Fair Oaks, CA · Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.