Individual
DR. DERRICK JAY BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2930 2ND AVE STE 200, MARINA, CA 93933-6244
(831) 582-2100
Mailing address
100 WILSON RD STE 100, MONTEREY, CA 93940-7885
(831) 649-1000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2008-0337
NC
207V00000X
Obstetrics & Gynecology Physician
Primary
C133289
CA
207V00000X
Obstetrics & Gynecology Physician
LL 27176
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336236488
BLUE MEDICARE
NC
05
—
5910437
—
NC
Enumeration date
10/09/2006
Last updated
02/21/2023
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