1255407839 NPI number — DR. MARIA LOURDES LIBRE BARTON PHARMD, BCPS, BCACP

Table of content: DR. MARIA LOURDES LIBRE BARTON PHARMD, BCPS, BCACP (NPI 1255407839)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255407839 NPI number — DR. MARIA LOURDES LIBRE BARTON PHARMD, BCPS, BCACP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARTON
Provider First Name:
MARIA LOURDES
Provider Middle Name:
LIBRE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHARMD, BCPS, BCACP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BARTON
Provider Other First Name:
LOURDES
Provider Other Middle Name:
LIBRE
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHARMD, BCPS, BCACP
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1255407839
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/13/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5254 MISSION VIEW CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CARMICHAEL
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95608-3620
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
650-799-6389
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4860 Y ST STE 400
Provider Second Line Business Practice Location Address:
ROOM 1055
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95817-2307
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-734-1430
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  58477 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com