Active NPI
Hanya Barth, M.D.
- Family Medicine Physician
- Santa Rosa, CA
National Provider Identifier
1629323357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A031974
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A031974 | CA | MD | Family 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.