Provider Demographics
NPI:1437471810
Name:BAREA, JAIME J (MD)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:J
Last Name:BAREA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3020 CHILDRENS WAY # MC5031
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4223
Mailing Address - Country:US
Mailing Address - Phone:858-966-5840
Mailing Address - Fax:
Practice Address - Street 1:9300 VALLEY CHILDRENS PL # GE21
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93636-8761
Practice Address - Country:US
Practice Address - Phone:559-353-6400
Practice Address - Fax:559-353-7213
Is Sole Proprietor?:No
Enumeration Date:2010-02-25
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA111622207SG0201X, 207SG0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0202XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Biochemical Genetics
No207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)