Active NPI
Edgardo Santos Barcelona, M.D.
- Surgery Physician
- Lancaster, CA
National Provider Identifier
1013028315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A37647
- Practice address
- 43839 15TH St W
Lancaster, CA 93534-4756 - Phone
- (661) 945-5984
- Fax
- (661) 945-6524
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A37647 | CA | Primary |
Addresses
Primary practice location
43839 15TH St W
Lancaster, CA 93534-4756
Mailing address
PO Box 7007
Lancaster, CA 93539-7007
Phone (661) 945-5984
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A376470 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37347 | CA | MD | Pharmacist |
| A37647 | CA | MD | Surgery Physician |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220486400000",
"number": "1013028315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7007",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935397007",
"telephone_number": "661-945-5984",
"fax_number": "661-945-6524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43839 15TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935344756",
"telephone_number": "661-945-5984",
"fax_number": "661-945-6524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARCELONA",
"first_name": "EDGARDO",
"middle_name": "SANTOS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2008-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A37647",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A376470",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.