Individual provider Active NPI

Hector Barajas, FNP

  • Family Nurse Practitioner
  • Thermal, CA
National Provider Identifier
1831494368
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19790 Issued in CA
Practice address
88775 76TH Ave
Suite 1
Thermal, CA 92274-9681
Phone
(619) 398-2405
Fax
(619) 398-2412
NPI assigned
Jan 13, 2011
Last updated
Jan 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19790 CA Primary

Addresses

Primary practice location

88775 76TH Ave
Suite 1
Thermal, CA 92274-9681

Mailing address

88775 76TH Ave
Suite 1
Thermal, CA 92274-9681
Phone (619) 398-2405

Medicare participation

Medicare enrollment files
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120724000506 CA Practitioner - Nurse Practitioner 2163688805 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
19790CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dap Health, Inc. Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1831494368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88775 76TH AVE",
            "address_2": "SUITE 1",
            "city": "THERMAL",
            "state": "CA",
            "postal_code": "922749681",
            "telephone_number": "619-398-2405",
            "fax_number": "619-398-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88775 76TH AVE",
            "address_2": "SUITE 1",
            "city": "THERMAL",
            "state": "CA",
            "postal_code": "922749681",
            "telephone_number": "619-398-2405",
            "fax_number": "619-398-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAJAS",
        "first_name": "HECTOR",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-13",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "19790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thermal, CA

Sources for this page

Verify at the official NPI Registry.