Joseph C Barbara Md Inc | |
7880 Wren Ave Ste C133 Gilroy CA 95020-7801 | |
(408) 842-0278 | |
(408) 842-8907 |
Full Name | Joseph C Barbara Md Inc |
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Speciality | Family Medicine |
Location | 7880 Wren Ave Ste C133, Gilroy, California |
Authorized Official Name and Position | Joseph C Barbara (MD) |
Authorized Official Contact | 4088420278 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Joseph C Barbara Md Inc 7880 Wren Ave Ste C133 Gilroy CA 95020-7801 Ph: (408) 842-0278 | Joseph C Barbara Md Inc 7880 Wren Ave Ste C133 Gilroy CA 95020-7801 Ph: (408) 842-0278 |
NPI Number | 1992821375 |
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Provider Enumeration Date | 03/21/2007 |
Last Update Date | 05/16/2014 |
Medicare PECOS PAC ID | 6406952134 |
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Medicare Enrollment ID | O20070426000228 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992821375 | NPI | - | NPPES |
00G280750 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G28075 (California) | Primary |
Provider Name | Joseph Carl Barbara |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831119486 PECOS PAC ID: 9335245067 Enrollment ID: I20150707002554 |
Provider Name | Amy L Bannister |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700475472 PECOS PAC ID: 0941615934 Enrollment ID: I20210225001786 |
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