MEDICARE: MICHELLE BARASH

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	363LF0000X	Family Nurse Practitioner	95039524	CA

General Provider Information

NPI Number	:	1578492286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE BARASH

Provider Business Mailing Address
First Line	:	23861 MCBEAN PKWY STE B18
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91355-4456
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	23861 MCBEAN PKWY STE B18
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91355-4456
Country	:	US
Telephone Number	:	661-288-7978
Fax Number	:

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

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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