Individual provider Active NPI

Barrie Helen Abbott, PA-C

  • Physician Assistant
  • Anza, CA
National Provider Identifier
1861602575
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10802 Issued in CA
Practice address
58581 US Highway 371 Ste F
Ste F, G, H
Anza, CA 92539-9331
Phone
(951) 763-4759
NPI assigned
May 23, 2007
Last updated
May 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10802 CA Primary

Addresses

Primary practice location

58581 US Highway 371 Ste F
Ste F, G, H
Anza, CA 92539-9331

Mailing address

PO Box 390984
Anza, CA 92539-0984
Phone (951) 551-6118

Other names 1

  • Prof. Barrie Helen Abbott Professional name

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10802CAMDSpeech-Language Pathologist
PA10802CAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: babbott@borregomedical.directbygreenway.com

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1861602575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390984",
            "city": "ANZA",
            "state": "CA",
            "postal_code": "925390984",
            "telephone_number": "951-551-6118",
            "fax_number": "951-763-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58581 US HIGHWAY 371 STE F",
            "address_2": "STE F, G, H",
            "city": "ANZA",
            "state": "CA",
            "postal_code": "925399331",
            "telephone_number": "951-763-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "BARRIE",
        "middle_name": "HELEN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA10802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARRIE",
            "last_name": "ABBOTT",
            "middle_name": "HELEN",
            "prefix": "PROF.",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Anza, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.