Stacy Renee Cohen-Barrera, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA22799 Issued in CA

Practice address

24331 El Toro Rd Ste 200
Laguna Woods, CA 92637-3116

Phone

(495) 863-3200

NPI assigned

Jun 10, 2006

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carbon Health Medical Group of California PC

  • Urgent Care Clinic/Center
  • Berkeley, CA
  • NPI 1417294232

  CA

  Medicare reassignment Care Compare group
• Portola Medical Services PC

  • Urgent Care Clinic/Center
  • Lake Forest, CA
  • NPI 1871962076

  CA

  Medicare reassignment Care Compare group
• Carbon Health Medical Group of California PC

  • Urgent Care Clinic/Center
  • Pasadena, CA
  • NPI 1255957205
  NPD
• Cypress Urgent Care, Inc

  • Urgent Care Clinic/Center
  • Cypress, CA
  • NPI 1881836989
  NPD (past)
• Orthopedics International LTD. PS

  • Orthopaedic Surgery Physician
  • Seattle, WA
  • NPI 1164460515
  NPD (past)
• Washington Orthopedics and Sports Medicine, PC

  • Orthopaedic Surgery of the Spine Physician
  • Kirkland, WA
  • NPI 1629008081
  NPD (past)

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carbon Health Medical Group of California PC 335 clinicians

Portola Medical Services PC 22 clinicians

Practice addresses (Care Compare)

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: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacy.cohen-barrera.1@15000.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 7, 2021.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636243200000",
    "number": "1689615361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24331 EL TORO RD STE 200",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926373116",
            "telephone_number": "949-586-3200",
            "fax_number": "949-900-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24331 EL TORO RD STE 200",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926373116",
            "telephone_number": "495-863-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN-BARRERA",
        "first_name": "STACY",
        "middle_name": "RENEE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2021-11-07",
        "certification_date": "2021-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA22799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chavez Management, Inc
• Julie Miae Choi, PHARMD
• Peter Pe Chu, PHARM.D
• Christine Huyen Chung, D.D.S.
• Emily Marie Clarke, MD
• Diane J Coker, P.T.
• Kyle Wayne Coker, M.D.
• Kent J Collins, AU.D.
• Cox Dental Corporation
• Lydia Creedon, MRI TECHNOLOGIST

• All providers in Laguna Woods, CA
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.