Individual provider Active NPI

John Paul Barbara

  • Medical Physician Assistant
  • Gilroy, CA
National Provider Identifier
1972882546
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-19907 Issued in CA
Practice address
7880 Wren Ave Ste C133
Gilroy, CA 95020-7801
Phone
(408) 842-0278
Fax
(408) 842-8907
NPI assigned
Aug 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA-19907 CA Primary

Addresses

Primary practice location

7880 Wren Ave Ste C133
Gilroy, CA 95020-7801

Mailing address

7880 Wren Ave Ste C133
Gilroy, CA 95020-7801
Phone (408) 842-0278

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191119000066 CA Practitioner - Physician Assistant 2860824539 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
19907CAMDDental Hygienist
PA-19907CAMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: john.barbara.1@10788.direct.athenahealth.com

Organizations & group practices 1

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": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1972882546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7880 WREN AVE STE C133",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950207801",
            "telephone_number": "408-842-0278",
            "fax_number": "408-842-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7880 WREN AVE STE C133",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950207801",
            "telephone_number": "408-842-0278",
            "fax_number": "408-842-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBARA",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA-19907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

Verify at the official NPI Registry.