Provider Demographics
NPI:1619913977
Name:ROBBINS, BARRY S (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:S
Last Name:ROBBINS
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 1:3031 TISCH WAY
Mailing Address - Street 2:STE 400
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2541
Mailing Address - Country:US
Mailing Address - Phone:408-244-2100
Mailing Address - Fax:408-244-6596
Practice Address - Street 1:3031 TISCH WAY
Practice Address - Street 2:STE 400
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2541
Practice Address - Country:US
Practice Address - Phone:408-244-2100
Practice Address - Fax:408-244-6596
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG27018174400000X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G270180Medicaid
CABD419XMedicare PIN
CABD419SMedicare PIN
CABD419UMedicare UPIN
CABD419WMedicare PIN
CA300100650Medicare PIN
CABD419ZMedicare PIN
CAA43181Medicare UPIN
CA00G270180Medicare PIN
CA00G270180Medicaid
CABD419YMedicare PIN
CABD419TMedicare PIN