Active NPI
Ophelia G Barte, M.D.
- Psychiatry Physician
- Canyon Country, CA
National Provider Identifier
1710968425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A43189
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A431890 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A43189 | CA | MD | Psychiatry Physician |
| 43189 | CA | MD | Physical 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.