Healthcare Provider Details

I. General information

NPI: 1437123379
Provider Name (Legal Business Name): RANDALL CURTIS BARBER ATC, PTA
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1685 SHAFFER RD
ATWATER CA
95301-4456
US

IV. Provider business mailing address

894 VANDERBILT CT
MERCED CA
95348-2150
US

V. Phone/Fax

Practice location:
  • Phone: 209-357-5121
  • Fax: 209-356-2487
Mailing address:
  • Phone: 209-383-1214
  • Fax: 209-356-2487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberAT6034
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: