Provider Demographics
NPI:1174682108
Name:JAMES, JOHN BARLOW (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:BARLOW
Last Name:JAMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-3447
Mailing Address - Country:US
Mailing Address - Phone:619-447-2425
Mailing Address - Fax:619-447-0829
Practice Address - Street 1:1580 N 2ND ST
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-3447
Practice Address - Country:US
Practice Address - Phone:619-447-2425
Practice Address - Fax:619-447-0829
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG29752207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000G297520Medicaid
CAG29752Medicare ID - Type Unspecified
A44145Medicare UPIN