Active NPI
Gary Davis Barnes II, SUDRC
- Addiction (Substance Use Disorder) Counselor
- Los Angeles, CA
National Provider Identifier
1023960200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 21913
- Practice address
- 3200 W Temple St Apt 310
Los Angeles, CA 90026-7374 - Phone
- (213) 312-7669
- Fax
- (213) 312-7669
- NPI assigned
- Feb 11, 2026
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 21913 | CA | Primary |
Addresses
Primary practice location
3200 W Temple St Apt 310
Los Angeles, CA 90026-7374
Mailing address
2330 Beverly Blvd
Los Angeles, CA 90057-2220
Phone (213) 312-7669
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21913 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1023960200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 BEVERLY BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900572220",
"telephone_number": "213-312-7669",
"fax_number": "213-312-7669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 W TEMPLE ST APT 310",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900267374",
"telephone_number": "213-312-7669",
"fax_number": "213-312-7669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "GARY",
"middle_name": "DAVIS",
"name_suffix": "II",
"credential": "SUDRC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-11",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "21913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.