Healthcare Provider Details

I. General information

NPI: 1043770191
Provider Name (Legal Business Name): RYAN ANDREW BARRERA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2019
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

513 PARNASSUS AVE # S436
SAN FRANCISCO CA
94143-2205
US

IV. Provider business mailing address

513 PARNASSUS AVE # S436
SAN FRANCISCO CA
94143-2205
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-1297
  • Fax: 415-353-1990
Mailing address:
  • Phone: 415-353-1297
  • Fax: 415-353-1990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA186756
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: