Individual provider Active NPI

Barbara Burrall

  • Dermatology Physician
  • Sacramento, CA
National Provider Identifier
1578512307
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G45128 Issued in CA
Practice address
3301 C St
Ste. 1300
Sacramento, CA 95816-3300
Phone
(916) 734-6111
NPI assigned
May 9, 2006
Last updated
Nov 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G45128 CA Primary

Addresses

Primary practice location

3301 C St
Ste. 1300
Sacramento, CA 95816-3300

Mailing address

3301 C St
Ste. 1300
Sacramento, CA 95816-3300

Other identifiers 1

IdentifierTypeStateIssuer
00G451280OtherCAMEDI-CAL PROVIDER #

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041019001317 CA Practitioner - Dermatology 0648231027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
86.24
Promoting interoperability
100
Improvement activities
40
Cost
78.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G45128CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Apr 1, 2009 Accepting new patients
Regents of the University of California CurrentSince Apr 1, 2009 Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

7911 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3950

8110 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3955

2261 Douglas Blvd
Roseville, CA 95661
Phone (916) 783-1044

3160 Folsom Blvd
Ste 1400
Sacramento, CA 95816
Phone (916) 731-1831

3301 C St
Ste 1300
Sacramento, CA 95816
Phone (916) 734-6111

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

4860 Y St
Ste 2100
Sacramento, CA 95817
Phone (916) 734-3800

500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700

77 Cadillac Dr
Ste 240
Sacramento, CA 95825
Phone (916) 569-4400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1578512307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 C ST",
            "address_2": "STE. 1300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 C ST",
            "address_2": "STE. 1300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163300",
            "telephone_number": "916-734-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRALL",
        "first_name": "BARBARA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G45128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER #",
            "identifier": "00G451280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.