Active NPI
Richard R Barager, MD
- Nephrology Physician
- Oceanside, CA
National Provider Identifier
1508864448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- G52074
- Practice address
- 3300 Vista Way
Ste B
Oceanside, CA 92056-3752 - Phone
- (760) 967-9900
- Fax
- (760) 967-6769
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | G52074 | CA | Primary |
Addresses
Primary practice location
3300 Vista Way
Ste B
Oceanside, CA 92056-3752
Mailing address
9610 Granite Ridge Dr
Suite B
San Diego, CA 92123-2684
Phone (858) 810-8000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA156007 | Other | CA | NO. CALIFORNIA PTAN |
| G52074 | Other | CA | CA LICENSE |
| CB226114 | Other | CA | SO. CALIFORNIA PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240229002128 | FL | Practitioner - Nephrology | 6901982164 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G52074 | CA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Tri-City Hospital | Past | Accepting new patients | |
| Fresenius Medical Care Northcoast, LLC | Past | Accepting new patients |
Interoperability endpoints
- rbarager28443@scrippshlth.medalliesdirect.net
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Oceanside, CA
- NPI 1801285960
-
- General Acute Care Hospital
- Oceanside, CA
- NPI 1801861190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442534400000",
"number": "1508864448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9610 GRANITE RIDGE DR",
"address_2": "SUITE B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232684",
"telephone_number": "858-810-8000",
"fax_number": "858-268-1911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 VISTA WAY",
"address_2": "STE B",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920563752",
"telephone_number": "760-967-9900",
"fax_number": "760-967-6769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARAGER",
"first_name": "RICHARD",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2015-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "G52074",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NO. CALIFORNIA PTAN",
"identifier": "CA156007",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA LICENSE",
"identifier": "G52074",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SO. CALIFORNIA PTAN",
"identifier": "CB226114",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.