Provider Demographics
NPI:1760565154
Name:BARNETT, MICHAEL S (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:S
Last Name:BARNETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MICHAEL
Other - Middle Name:S
Other - Last Name:BARNETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD LTD
Mailing Address - Street 1:24677 BURR DRIVE
Mailing Address - Street 2:
Mailing Address - City:LINDSAY
Mailing Address - State:CA
Mailing Address - Zip Code:93247
Mailing Address - Country:US
Mailing Address - Phone:559-562-0222
Mailing Address - Fax:559-562-2105
Practice Address - Street 1:814 W CENTER AVE
Practice Address - Street 2:SUITE G
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-6046
Practice Address - Country:US
Practice Address - Phone:559-967-0855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG357692084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1982888624OtherNPI BUSINESS
CA1982888624OtherNPI BUSINESS
C36936Medicare UPIN