Charles Jenckes Barnes, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G28760 Issued in CA

Practice address

6123 Jordan Ave
El Cerrito, CA 94530-1549

Phone

(510) 237-2823

Fax

(510) 237-9213

NPI assigned

Jan 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Marin Hospitalist Medical Group, Inc.

  • Internal Medicine Physician
  • Greenbrae, CA
  • NPI 1023041753
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871641001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6123 JORDAN AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945301549",
            "telephone_number": "510-237-2823",
            "fax_number": "510-237-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6123 JORDAN AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945301549",
            "telephone_number": "510-237-2823",
            "fax_number": "510-237-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "CHARLES",
        "middle_name": "JENCKES",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G28760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G287630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Robert Ball, D.C.
• Henry Bao
• Suzanne Baptiste
• Oscar Alejandro Barahona Coffin, NP
• Holly Jane Barbarisi, MA MFT
• Gina Barnes, OTR/L
• Aubrey Ann Fowler Barrett, DMD, MS
• Conly Elizabeth Basham
• Amita Basra, RN, AYURVEDA
• Bay Area Community Resources, Inc

• Internal Medicine Physician in El Cerrito, CA
• Providers in El Cerrito, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.