Individual provider Active NPI

David Bret Baron, M.D.

  • Family Medicine Physician
  • Malibu, CA
National Provider Identifier
1962401687
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G67527 Issued in CA
Practice address
22601 Pacific Coast Hwy
Suite 240
Malibu, CA 90265-5856
Phone
(310) 456-6505
Fax
(310) 456-8105
NPI assigned
Jul 14, 2005
Reactivated
Mar 31, 2006
Last updated
Nov 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G67527 CA Primary

Addresses

Primary practice location

22601 Pacific Coast Hwy
Suite 240
Malibu, CA 90265-5856

Mailing address

22601 Pacific Coast Hwy
Suite 240
Malibu, CA 90265-5856
Phone (310) 456-6505

Other identifiers 2

IdentifierTypeStateIssuer
00G675270OtherCABLUE CROSS NUMBER
ZZZ64086ZOtherCABLUE SHIELD NUMBER

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
I20040701000914 CA Practitioner - Family Practice 9436136231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Perelman School of Med at the University of Pennsylvania, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

22601 Pacific Coast Hwy
Suite 240
Malibu, CA 90265-5823
Phone (310) 456-6505

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67527CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Caring of Malibu Medical Family Medicine CurrentSince Apr 1, 2004 Accepting new patients
Sinu-Clear Inc CurrentSince Jul 29, 2025 Accepting new patients
Eugene Lam MD Inc PastSince Apr 1, 2004 Accepting new patients

Locations

22601 Pacific Coast Hwy
Ste 240
Malibu, CA 90265
Phone (310) 456-6505

9620 Fremont Ave
Montclair, CA 91763
Phone (909) 227-0750

1550 N Park Ave
Pomona, CA 91768
Phone (909) 623-0791

Interoperability endpoints

  • Direct secure messaging: david.baron.1@25592.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25592/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1962401687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22601 PACIFIC COAST HWY",
            "address_2": "SUITE 240",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902655856",
            "telephone_number": "310-456-6505",
            "fax_number": "310-456-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22601 PACIFIC COAST HWY",
            "address_2": "SUITE 240",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902655856",
            "telephone_number": "310-456-6505",
            "fax_number": "310-456-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARON",
        "first_name": "DAVID",
        "middle_name": "BRET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2012-11-26",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G67527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "00G675270",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NUMBER",
            "identifier": "ZZZ64086Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malibu, CA

Sources for this page

Verify at the official NPI Registry.