Provider Demographics
NPI:1154528008
Name:BARKER, ROBERT A (RRT)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:A
Last Name:BARKER
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3245 VIA ALICANTE UNIT 60
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-2714
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:VA SAN DIEGO HEALTH CARE SYSTEM
Practice Address - Street 2:3350 LA JOLLA VILLAGE DR
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-9779
Practice Address - Country:US
Practice Address - Phone:858-552-8585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25257227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA25257OtherRCP LICENSE