Provider Demographics
NPI:1578962064
Name:BARATTINO, GUADALUPE GUILLERMINA
Entity Type:Individual
Prefix:MRS
First Name:GUADALUPE
Middle Name:GUILLERMINA
Last Name:BARATTINO
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:GUADALUPE
Other - Middle Name:GUILLERMINA
Other - Last Name:ORTIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1415 FRUITVALE AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-2320
Mailing Address - Country:US
Mailing Address - Phone:510-535-8400
Mailing Address - Fax:510-535-8484
Practice Address - Street 1:3311 PACIFIC AVE
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-7007
Practice Address - Country:US
Practice Address - Phone:925-961-8045
Practice Address - Fax:925-951-8835
Is Sole Proprietor?:No
Enumeration Date:2014-08-20
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker