Healthcare Provider Details

I. General information

NPI: 1114856986
Provider Name (Legal Business Name): NAOMI BAREKET
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 BISSO LN STE 100
CONCORD CA
94520-4817
US

IV. Provider business mailing address

2425 BISSO LN STE 100
CONCORD CA
94520-4817
US

V. Phone/Fax

Practice location:
  • Phone: 925-521-5620
  • Fax:
Mailing address:
  • Phone: 925-521-5620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: