Provider Demographics
NPI:1881411726
Name:BARNES, TEMPEST
Entity type:Individual
Prefix:
First Name:TEMPEST
Middle Name:
Last Name:BARNES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11741 STERLING AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-7119
Mailing Address - Country:US
Mailing Address - Phone:272-209-4630
Mailing Address - Fax:
Practice Address - Street 1:10681 STERLERING AVE
Practice Address - Street 2:STU I
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92502
Practice Address - Country:US
Practice Address - Phone:951-809-4615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker