Provider Demographics
NPI:1538127717
Name:BARNETT, CHRISTOPHER F (MD, MPH)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:F
Last Name:BARNETT
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 PRESIDIO AVE
Mailing Address - Street 2:APT 3
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3379
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:535 MISSION BAY BLVD S
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2156
Practice Address - Country:US
Practice Address - Phone:415-353-3109
Practice Address - Fax:415-353-2528
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA99520207RC0200X, 207RA0001X, 207RC0000X
DCMD043864207RC0000X, 2086S0102X
MDD0061892207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC36932200Medicaid
MD64699701OtherCAREFIRST BCBS
MD408398900Medicaid
DC19460031OtherCAREFIRST BCBS
MD408398900Medicaid
DC36932200Medicaid