Active NPI
Annette Barnes, P.A.
- Medical Physician Assistant
- San Jose, CA
National Provider Identifier
1508678194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA13805
- Practice address
- Shasa Medical Group Medical Director: Milliadaire Syver
88 Tully Road, Suite 110
San Jose, CA 95111 - Phone
- (408) 294-9234
- Fax
- (408) 564-5868
- NPI assigned
- Jan 22, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA13805 | CA | Primary |
Addresses
Primary practice location
Shasa Medical Group Medical Director: Milliadaire Syver
88 Tully Road, Suite 110
San Jose, CA 95111
Mailing address
8066 Linares Avenue
Riverside, CA 92509
Phone (510) 367-2533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA13805 | CA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1508678194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8066 LINARES AVENUE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "92509",
"telephone_number": "510-367-2533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SHASA MEDICAL GROUP MEDICAL DIRECTOR: MILLIADAIRE SYVER",
"address_2": "88 TULLY ROAD, SUITE 110",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95111",
"telephone_number": "408-294-9234",
"fax_number": "408-564-5868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "ANNETTE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-22",
"last_updated": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA13805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.