Raphael Ezra Barda, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C52219 Issued in CA

Practice address

1208 E Prosperity Ave
#233
Tulare, CA 93274-8050

Phone

(559) 686-4671

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Isl, LTD

  • Psychiatry Physician
  • Stroudsburg, PA
  • NPI 1770592370
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1538255682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 E PROSPERITY AVE",
            "address_2": "#233",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932748050",
            "telephone_number": "559-686-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 E PROSPERITY AVE",
            "address_2": "#233",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932748050",
            "telephone_number": "559-686-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDA",
        "first_name": "RAPHAEL",
        "middle_name": "EZRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C52219",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD063204L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01759314",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lupita Banda
• Kristy Banks, SUDCC II
• Sarajinder Kaur Bansal, MD
• Lori Barbarian
• Randy Alan Barclay, P.A.
• Zadie Antoinette Barnes-Street
• Casey Nicole Barnes
• Ricky Fernando Barrera Jr.
• Jasmine Barrientos-Rodriguez
• Brianna Barrios

• Psychiatry Physician in Tulare, CA
• Providers in Tulare, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.