Carlos Barahona

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CARLOS BARAHONA

Practice address

914 Mission Ave
San Rafael, CA 94901-6106

Phone

(415) 457-1925

Fax

(415) 457-1929

NPI assigned

Feb 4, 2008

Last updated

Feb 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlos Barahona

Title

Service Provider 3

Phone

(415) 457-1925

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1477731222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 MISSION AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949016106",
            "telephone_number": "415-457-1925",
            "fax_number": "415-457-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 MISSION AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949016106",
            "telephone_number": "415-457-1925",
            "fax_number": "415-457-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS BARAHONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "BARAHONA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "SERVICE PROVIDER 3",
        "authorized_official_telephone_number": "415-457-1925"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.