BARRY SHIBUYA MD INC (NPI# 1023070786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023070786 |
| Entity Type | Organization |
| Organization Name | BARRY SHIBUYA MD INC |
| Practice Address |
3775 Beacon Ave Suite 100 Fremont CA 94538-1466 |
| Practice Telephone | 5107911300 |
| Practice Fax Number | 5107911301 |
| Mailing Telephone | 5107911300 |
| Mailing Fax Number | 5107911301 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2014-08-05 |
| Authorized Official Name | DR. BARRY EIICHI SHIBUYA (PRESIDENT) |
| Authorized Official Telephone | 5107911300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
A72682 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A7268210 | 05 |
| Street Address |
3775 BEACON AVE SUITE 100 |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-1466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538158019 | Marie Blanchard | Psychologist | 3775 Beacon Ave, #241, Fremont, CA 94538-1465 | 2005-10-18 |
| 1164868170 | Emere Medical Professional Corporation | Physical Medicine & Rehabilitation | 3775 Beacon Ave, Suite 200, Fremont, CA 94538-1465 | 2013-05-16 |
| 1497069215 | Dennis Ming Tak Chung | Psychologist | 3775 Beacon Ave, Suite 208, Fremont, CA 94538-1465 | 2010-08-04 |
| 1891025813 | James N Cohn Md Inc | Ophthalmology | 3775 Beacon Ave, Suite 140, Fremont, CA 94538-1465 | 2010-01-14 |
| 1386800712 | Brendan Webster | Speech-Language Pathologist | 3775 Beacon Ave, Suite C, Fremont, CA 94538-1465 | 2008-08-05 |
| 1376707141 | Motivation Confidence Achievement Corporation | Behavioral Analyst | 3775 Beacon Ave, Suite 208, Fremont, CA 94538-1465 | 2008-07-11 |
| 1679757074 | Community Counseling & Education Center | Community/Behavioral Health | 3775 Beacon Ave, Suite 2, Fremont, CA 94538-1465 | 2007-12-20 |
| 1720268535 | Sherry Judy Loewinger | Counselor | 3775 Beacon Ave, 2nd Floor, Fremont, CA 94538-1465 | 2007-11-08 |
| 1245424944 | Joseph Yosi Amram | Student in an Organized Health Care Education/Training Program | 3775 Beacon Ave, Ccec 2nd Floor, Fremont, CA 94538-1465 | 2007-09-05 |
| 1649461989 | Michael P Ferro Jr. | Counselor | 3775 Beacon Ave, 2nd Floor, Fremont, CA 94538-1465 | 2007-08-01 |
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|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
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| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043582109 | Jennifer A Johnson | Internal Medicine | 39400 Paseo Padre Pkwy Dept Of, Fremont, CA 94538-2310 | 2012-02-06 |
| 1659602027 | Naini Sharma | Internal Medicine | 46047 Raindance Rd, Fremont, CA 94539-6963 | 2010-01-24 |
| 1033415237 | Vani Velkuru, Md Inc. | Internal Medicine | 1999 Mowry Ave, Suite 2 - I, Fremont, CA 94538-1738 | 2011-02-04 |
| 1972732600 | Christine Nguyen Elias | Internal Medicine | 2333 Mowry Ave, Ste 300, Fremont, CA 94538-1626 | 2009-07-02 |
| 1811174428 | Vani Velkuru | Internal Medicine | 1999 Mowry Ave, Suite 2 - I, Fremont, CA 94538-1738 | 2008-01-25 |
| 1275746935 | Barry Eiichi Shibuya | Internal Medicine | 3775 Beacon Ave, Suite 100, Fremont, CA 94538-1466 | 2007-05-08 |
| 1659456325 | Peter L. Hendler | Internal Medicine | 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | 2006-10-25 |
| 1134161524 | Sabiha Rasheed | Internal Medicine | 734 Mowry Ave, Fremont, CA 94536-4115 | 2006-06-12 |
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| 1699291765 | Peter James Lloyd Md Inc | Internal Medicine | 2251 Montgomery Ave, Cardiff, CA 92007-1913 | 2017-08-20 |
| 1285155010 | David Alexandre Chetrit | Internal Medicine | 757 Westwood Plaza, Rheumatology, Los Angeles, CA 90095-6130 | 2017-07-01 |
| 1447791181 | Ross Stephen Howard | Internal Medicine | 936 Harbor View Dr, San Diego, CA 92106-2438 | 2017-03-14 |
| 1295286714 | Tharaknath Rao | Internal Medicine | 14767 Calle Carla, Rancho Santa Fe, CA 92067 | 2016-10-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.