Active NPI
Joel Justin Baranski, M.D.
- Nephrology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- G67559
- Practice address
- 4060 4TH Ave
Ste 220
San Diego, CA 92103-2120 - Phone
- (619) 299-2350
- Fax
- (619) 297-8379
- NPI assigned
- Jun 17, 2005
- Last updated
- Jun 28, 2022
- 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 | G67559 | CA | Primary |
Addresses
Primary practice location
4060 4TH Ave
Ste 220
San Diego, CA 92103-2120
Mailing address
4225 Executive SQ Ste 450
La Jolla, CA 92037-8411
Phone (858) 810-0000
Other practice location 1
4094 4th Ave
San Diego, CA 92103-2143
Phone (619) 515-2545
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DX113Y | Other | CA | NO. CALIFORNIA PTAN |
| WG675590 | Other | CA | SO. CALIFORNIA PTAN |
| 00G675590 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Family Health Centers of San Diego Inc | Current | Accepting new patients | |
| San Diego Hospital Based Physicians Medical Association | Past | Accepting new patients |
Locations
4065 3rd Ave
Ste 200
San Diego, CA 92103
Phone (619) 299-2350
4094 4th Ave
San Diego, CA 92103
Phone (619) 515-2545
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
Interoperability endpoints
- jbaranski26975@scrippshlth.medalliesdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Logan Heights Family Health Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
dba Logan Heights Family Health Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1528331287
-
dba Chula Vista Family Health Center
- Federally Qualified Health Center (FQHC)
- Chula Vista, CA
- NPI 1346480837
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1417907882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1548265234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 EXECUTIVE SQ STE 450",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920378411",
"telephone_number": "858-810-0000",
"fax_number": "858-268-1911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 4TH AVE",
"address_2": "STE 220",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032120",
"telephone_number": "619-299-2350",
"fax_number": "619-297-8379"
}
],
"practiceLocations": [
{
"address_1": "4094 4th Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921032143",
"country_code": "US",
"telephone_number": "619-515-2545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARANSKI",
"first_name": "JOEL",
"middle_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "G67559",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NO. CALIFORNIA PTAN",
"identifier": "DX113Y",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SO. CALIFORNIA PTAN",
"identifier": "WG675590",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G675590",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.