Individual provider Active NPI

Jeffrey Bryan Bariel, PA-C

  • Medical Physician Assistant
  • Los Osos, CA
National Provider Identifier
1811367261
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
52836 Issued in CA
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

Updated by the provider on Sep 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
52836CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.