Organization Active NPI

Barco Medical Clinic, Inc.

  • Family Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1093911943
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A38962 Issued in CA
Legal business name
BARCO MEDICAL CLINIC, INC.
Practice address
8929 Wilshire Blvd
Suite 225
Beverly Hills, CA 90211-1938
Phone
(310) 276-6933
Fax
(310) 271-0980
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Dr. David Barcohana, MDNPI 1750398509
Title
Ceo
Phone
(310) 276-6933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A38962 CA Primary

Addresses

Primary practice location

8929 Wilshire Blvd
Suite 225
Beverly Hills, CA 90211-1938

Mailing address

PO Box 355
Beverly Hills, CA 90213-0355
Phone (310) 276-6933

Other identifiers 1

IdentifierTypeStateIssuer
GR0046420MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050804001270 CA Part B Supplier - Clinic/Group Practice 5799714226 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, CA

National Provider Directory

National Provider Directory

Locations

9033 Wilshire Blvd
Ste 310
Beverly Hills, CA 90211
Phone (310) 276-6933

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1093911943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 355",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902130355",
            "telephone_number": "310-276-6933",
            "fax_number": "310-271-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8929 WILSHIRE BLVD",
            "address_2": "SUITE 225",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111938",
            "telephone_number": "310-276-6933",
            "fax_number": "310-271-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARCO MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "BARCOHANA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-276-6933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A38962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0046420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.