Healthcare Provider Details

I. General information

NPI: 1194885442
Provider Name (Legal Business Name): DYNELA LOUISE GARCIA-BARAN MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2006
Last Update Date: 02/18/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 FALLS OF NEUSE RD STE 355
RALEIGH NC
27609-6275
US

IV. Provider business mailing address

3835 N FREEWAY BLVD SUITE 100, SACRAMENTO CA 95834
SACRAMENTO CA
95834
US

V. Phone/Fax

Practice location:
  • Phone: 855-501-1004
  • Fax: 888-438-1446
Mailing address:
  • Phone: 916-576-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2013-02033
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: