Active NPI
Jeffrey Bryan Bariel, PA-C
- Medical Physician Assistant
- Los Osos, CA
National Provider Identifier
1811367261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 52836
- Practice address
- 1480 10TH St
Los Osos, CA 93402-1704 - Phone
- (805) 459-5606
- NPI assigned
- Sep 29, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 52836 | CA | Primary |
Addresses
Primary practice location
1480 10TH St
Los Osos, CA 93402-1704
Mailing address
PO Box 6809
Los Osos, CA 93412-6809
Phone (805) 459-5606
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52836 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aevum Home Health Inc. | Current | Accepting new patients | |
| Kevin Parzych a Medical Corp | Past | Accepting new patients |
Locations
1302 Marsh St
San Luis Obispo, CA 93401
Phone (619) 990-0543
Organizations & group practices 2
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.
-
- Home Health Agency
- San Luis Obispo, CA
- NPI 1598292435
-
- Family Medicine Physician
- San Luis Obispo, CA
- NPI 1033586714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443484800000",
"number": "1811367261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6809",
"city": "LOS OSOS",
"state": "CA",
"postal_code": "934126809",
"telephone_number": "805-459-5606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1480 10TH ST",
"city": "LOS OSOS",
"state": "CA",
"postal_code": "934021704",
"telephone_number": "805-459-5606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARIEL",
"first_name": "JEFFREY",
"middle_name": "BRYAN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-29",
"last_updated": "2015-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "52836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Osos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.