Individual provider Active NPI

Renea Barrientos, NP

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1689333940
Registry record updated Jun 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95019057 Issued in CA
Practice address
402 W Broadway Ste 400
San Diego, CA 92101-3554
Phone
(619) 494-1443
NPI assigned
Dec 14, 2021
Last updated
Jun 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95019057 CA Primary

Addresses

Primary practice location

402 W Broadway Ste 400
San Diego, CA 92101-3554

Mailing address

402 W Broadway Ste 400
San Diego, CA 92101-3554
Phone (619) 494-1443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95027267CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cassidy Medical Group Inc. Current Accepting new patients
Perry W, Sexton, MD Professional Corporation CurrentSince Nov 20, 2022 Accepting new patients
Beaver Medical Group P C CurrentSince Mar 1, 2023 Accepting new patients
Beaver Medical Group P C CurrentSince Mar 1, 2023 Accepting new patients
VF Alliance, a Medical Corporation PastSince Dec 1, 2021 Accepting new patients
Vista Family Health Center,a Medical Corporation PastSince Dec 1, 2021 Accepting new patients
Monica Perlman MD Inc. PastSince Nov 20, 2022 Accepting new patients

Locations

351 Santa Fe Dr
Ste 101
Encinitas, CA 92024
Phone (760) 274-1385

2 W Fern Ave
Redlands, CA 92373
Phone (909) 786-0725

145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: rbarrientos21932@epiclp.direct-ci.com

Organizations & group practices 7

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": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749945600000",
    "number": "1689333940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W BROADWAY STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013554",
            "telephone_number": "619-494-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W BROADWAY STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013554",
            "telephone_number": "619-494-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRIENTOS",
        "first_name": "RENEA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2025-06-15",
        "certification_date": "2025-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.