Individual provider Active NPI

Ophelia G Barte, M.D.

  • Psychiatry Physician
  • Canyon Country, CA
National Provider Identifier
1710968425
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A43189 Issued in CA
Practice address
27141 Hidaway Ave
#203
Canyon Country, CA 91351-4131
Phone
(661) 424-1774
Fax
(661) 424-1711
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A43189 CA Primary

Addresses

Primary practice location

27141 Hidaway Ave
#203
Canyon Country, CA 91351-4131

Mailing address

PO Box 220243
Newhall, CA 91322-0243
Phone (661) 424-1774

Other identifiers 1

IdentifierTypeStateIssuer
00A431890MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A43189CAMDPsychiatry Physician
43189CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1710968425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220243",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913220243",
            "telephone_number": "661-424-1774",
            "fax_number": "661-424-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27141 HIDAWAY AVE",
            "address_2": "#203",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913514131",
            "telephone_number": "661-424-1774",
            "fax_number": "661-424-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTE",
        "first_name": "OPHELIA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A43189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A431890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Country, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.