Individual provider Active NPI

Mohammad Aslam Barra, MD

  • Obstetrics & Gynecology Physician
  • Hollister, CA
National Provider Identifier
1962501635
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A30194 Issued in CA
Practice address
930 Sunnyslope Rd E 1
Hollister, CA 95023
Phone
(831) 636-1212
Fax
(831) 636-8164
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A30194 CA Primary

Addresses

Primary practice location

930 Sunnyslope Rd E 1
Hollister, CA 95023

Mailing address

930 Sunnyslope Rd E 1
Hollister, CA 95023
Phone (831) 636-1212

Other identifiers 1

IdentifierTypeStateIssuer
00A301940MedicaidCA

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
I20090603000006 CA Practitioner - Obstetrics/Gynecology 6305905019 Reassigns benefits to 1 organization
Practice locations: Hollister, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A30194CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hazel Hawkins Memorial Hospital CurrentSince Dec 18, 2019 Accepting new patients
Hazel Hawkins Memorial Hospital CurrentSince Dec 18, 2019 Accepting new patients

Locations

890 Sunset Dr
Ste A2
Hollister, CA 95023
Phone (831) 635-9788

911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640

Interoperability endpoints

  • Direct secure messaging: mohammad.aslam.barra.1@13211.direct.athenahealth.com
  • Direct secure messaging: aslam.barra@hhch.eclinicaldirectplus.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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1962501635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 SUNNYSLOPE RD E 1",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "95023",
            "telephone_number": "831-636-1212",
            "fax_number": "831-636-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SUNNYSLOPE RD E 1",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "95023",
            "telephone_number": "831-636-1212",
            "fax_number": "831-636-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRA",
        "first_name": "MOHAMMAD",
        "middle_name": "ASLAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A30194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A301940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollister, CA

Sources for this page

Verify at the official NPI Registry.