Individual provider Active NPI

Carlos Alberto Barajas Jr.

  • Physician Assistant
  • South Gate, CA
National Provider Identifier
1861274300
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
65733 Issued in CA
Practice address
8627 Atlantic Ave
South Gate, CA 90280-3501
Phone
(888) 499-9303
Fax
(323) 597-2184
NPI assigned
Oct 18, 2023
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 65733 CA Primary

Addresses

Primary practice location

8627 Atlantic Ave
South Gate, CA 90280-3501

Mailing address

1137 S Shasta St
West Covina, CA 91791-3615
Phone (626) 634-5710

Other practice location 1

2680 Saturn Ave
Huntington Park, CA 90255-4377
Phone (323) 908-4200

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251002003004 CA Order and Referring Only - Family PracticePractitioner - Family Practice 1254837784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65733CAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: carlos.barajasjr.p1@direct.scfhc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1861274300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 S SHASTA ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917913615",
            "telephone_number": "626-634-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8627 ATLANTIC AVE",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902803501",
            "telephone_number": "888-499-9303",
            "fax_number": "323-597-2184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2680 Saturn Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington Park",
            "state": "CA",
            "postal_code": "902554377",
            "country_code": "US",
            "telephone_number": "323-908-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARAJAS",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-18",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "65733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Gate, CA

Sources for this page

Verify at the official NPI Registry.