MEDICARE: DR. BARRY MICHAEL GAINES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084F0202X	Forensic Psychiatry Physician	CA51184	CA
2	2084P0800X	Psychiatry Physician	CA51184	CA
3	2084P0802X	Addiction Psychiatry Physician	CA51184	CA
4	2084P0804X	Child & Adolescent Psychiatry Physician	CA51184	CA
5	2084P0805X	Geriatric Psychiatry Physician	CA51184	CA

General Provider Information

NPI Number	:	1225122138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARRY MICHAEL GAINES MD

Provider Business Mailing Address
First Line	:	438 NORTH WHITE ROAD
Second Line	:	ALLIANCE FOR COMMUNITY CARE
City	:	SAN JOSE
State	:	CA
Zip	:	95127-1439
Country	:	US
Telephone Number	:	408-254-6828
Fax Number	:	408-254-6838

Provider Business Practice Location Address
First Line	:	438 N WHITE RD
Second Line	:	ALLIANCE FOR COMMUNITY CARE SERVICE TEAM ADULT OUTPATIE
City	:	SAN JOSE
State	:	CA
Zip	:	95127-1439
Country	:	US
Telephone Number	:	408-254-6828
Fax Number	:	408-254-6838

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	09/11/2025

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