Active NPI
Marcus Anthony Barber, MD
- Pediatrics Physician
- Victorville, CA
National Provider Identifier
1891766333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A49156
- Practice address
- 15237 Eleventh St Ste a
Victorville, CA 92395 - Phone
- (909) 823-8000
- Fax
- (909) 823-8088
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A49156 | CA | Primary |
Addresses
Primary practice location
15237 Eleventh St Ste a
Victorville, CA 92395
Mailing address
16465 Sierra Lakes Pkwy Ste 275
Fontana, CA 92336-1263
Phone (909) 823-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 189176633 | Medicaid | CA |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A49156 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victorville Pediatrics | Pediatrics | Past | Accepting new patients |
| Golden State Primary Care Inc | Pediatrics | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- marcus.barber.p2@direct.hvvmg.nextgenshare.com
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.
-
- Pediatrics Physician
- Victorville, CA
- NPI 1497249155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604016000000",
"number": "1891766333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16465 SIERRA LAKES PKWY STE 275",
"city": "FONTANA",
"state": "CA",
"postal_code": "923361263",
"telephone_number": "909-823-8000",
"fax_number": "909-823-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15237 ELEVENTH ST STE A",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "92395",
"telephone_number": "909-823-8000",
"fax_number": "909-823-8088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARBER",
"first_name": "MARCUS",
"middle_name": "ANTHONY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A49156",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189176633",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.