Provider Demographics
NPI:1922869114
Name:BARBERO, RALPH SAMUEL
Entity Type:Individual
Prefix:MR
First Name:RALPH
Middle Name:SAMUEL
Last Name:BARBERO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5790 RIVERA RD
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688-9728
Mailing Address - Country:US
Mailing Address - Phone:707-366-9612
Mailing Address - Fax:
Practice Address - Street 1:5790 RIVERA RD
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-9728
Practice Address - Country:US
Practice Address - Phone:707-366-9612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)