Individual provider Active NPI

Hanya Barth, M.D.

  • Family Medicine Physician
  • Santa Rosa, CA
National Provider Identifier
1629323357
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A031974 Issued in CA
Practice address
741 5TH St
Santa Rosa, CA 95404-4429
Phone
(707) 568-0420
Fax
(707) 568-0400
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A031974 CA Primary

Addresses

Primary practice location

741 5TH St
Santa Rosa, CA 95404-4429

Mailing address

741 5TH St
Santa Rosa, CA 95404-4429

Other practice location 1

10344 Donner Pass Rd
Truckee, CA 96161-0425
Phone (530) 550-8866

Other practice location 2

727 D St
Marysville, CA 95901-5318
Phone (415) 255-1200

Other practice location 3

222 7th St
San Francisco, CA 94103-4004
Phone (415) 255-1200

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A031974CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1629323357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 5TH ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 5TH ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044429",
            "telephone_number": "707-568-0420",
            "fax_number": "707-568-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10344 Donner Pass Rd",
            "address_purpose": "LOCATION",
            "city": "Truckee",
            "state": "CA",
            "postal_code": "961610425",
            "country_code": "US",
            "telephone_number": "530-550-8866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "727 D St",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "CA",
            "postal_code": "959015318",
            "country_code": "US",
            "telephone_number": "415-255-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 7th St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941034004",
            "country_code": "US",
            "telephone_number": "415-255-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTH",
        "first_name": "HANYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A031974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.