Active NPI
Barry D Norris, MD
- Family Medicine Physician
- Soquel, CA
National Provider Identifier
1902001621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G42711
- Practice address
- 2930 Park Ave
Soquel, CA 95073-2833 - Phone
- (831) 475-7400
- Fax
- (831) 477-2081
- NPI assigned
- Jun 21, 2007
- Last updated
- Jun 17, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G42711 | CA | Primary |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | G42711 | CA |
Addresses
Primary practice location
2930 Park Ave
Soquel, CA 95073-2833
Mailing address
2930 Park Ave
Soquel, CA 95073-2833
Phone (831) 475-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G427110 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110324000402 | CA | Practitioner - Family Practice | 6406039734 | Practice locations: Soquel, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of California, Geffen School of Medicine, 1979
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2930 Park Ave
Soquel, CA 95073-2833
Phone (831) 475-7400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G42711 | CA | MD | Geriatric Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434499200000",
"number": "1902001621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2930 PARK AVE",
"city": "SOQUEL",
"state": "CA",
"postal_code": "950732833",
"telephone_number": "831-475-7400",
"fax_number": "831-477-2081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2930 PARK AVE",
"city": "SOQUEL",
"state": "CA",
"postal_code": "950732833",
"telephone_number": "831-475-7400",
"fax_number": "831-477-2081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "BARRY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-21",
"last_updated": "2015-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G42711",
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "CA",
"license": "G42711",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G427110",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Soquel, CA
- Jessica Murphy, LMFT
- Grace Eiko Nakamura, LMFT
- Sharon Gross Nash, MFT
- Doel Jay Negron, BCMT
- Annie Quoc-Thy Nguyen-Lin, M.D.
- Dana Orlando, AUD
- Jessica Ann Owens, RT
- Pacific Psychotherapy Marriage and Family Therapy Corporation PC (Pacific Psychotherapy)
- Chirag Pancholi, PHARM.D
- Milan Chetan Patel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.