Organization Active NPI

Bruce W Barker, MD, Faap, Inc.

  • Pediatric Critical Care Medicine Physician
  • Pomona, CA
National Provider Identifier
1043356751
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
A35443 Issued in CA
Legal business name
BRUCE W BARKER, MD, FAAP, INC.
Practice address
1798 N Garey Ave
Pomona, CA 91767-2918
Phone
(949) 492-3514
Fax
(949) 366-2390
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kara Nordberg
Title
Accounts Administrator
Phone
(949) 492-3514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0203X A35443 CA Primary

Addresses

Primary practice location

1798 N Garey Ave
Pomona, CA 91767-2918

Mailing address

PO Box 1359
San Clemente, CA 92674-1359
Phone (949) 492-3514

Other identifiers 1

IdentifierTypeStateIssuer
00A354431MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043356751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1359",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926741359",
            "telephone_number": "949-492-3514",
            "fax_number": "949-366-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1798 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672918",
            "telephone_number": "949-492-3514",
            "fax_number": "949-366-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE W BARKER, MD, FAAP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NORDBERG",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "ACCOUNTS ADMINISTRATOR",
        "authorized_official_telephone_number": "949-492-3514"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "CA",
            "license": "A35443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A354431",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.