NPIMap

Individual provider Active NPI

Brian Barrios Ayuste, M.D.

  • Internal Medicine Physician
  • Granada Hills, CA
National Provider Identifier
1104003458
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A99851 Issued in CA
Practice address
10605 Balboa Blvd
240
Granada Hills, CA 91344-6342
Phone
(818) 366-4626
Fax
(818) 366-4630
NPI assigned
Jan 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A99851 CA Primary

Addresses

Primary practice location

10605 Balboa Blvd
240
Granada Hills, CA 91344-6342

Mailing address

10605 Balboa Blvd
240
Granada Hills, CA 91344-6342
Phone (818) 366-4626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110927000244 CA Practitioner - NephrologyPractitioner - Internal Medicine 8426181942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renal Consultants Medical GroupGroup PAC ID 9335126010, 9 clinicians

Practice addresses (Care Compare)

23928 Lyons Ave
Suite 105
Newhall, CA 91321-2453
Phone (661) 254-0193

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A99851CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Consultants Medical Group CurrentSince Jul 11, 2011 Accepting new patients
Advocate Health and Hospitals Corporation Past Accepting new patients
Woodland Hills Dialysis Center LLC PastSince Mar 12, 2018 Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients
Nephrology Associates of Northern Illinois, LTD. Past Accepting new patients
Linda Roberts & Associates Inc Past Accepting new patients
Adventist Midwest Health Past Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine Past Accepting new patients
Simi Valley Hospital and Health Care Services Past Accepting new patients
Deanco Healthcare LLC. Past Accepting new patients

Locations

10605 Balboa Blvd
Ste 240
Granada Hills, CA 91344
Phone (818) 366-3935

23928 Lyons Ave
Ste 105
Newhall, CA 91321
Phone (661) 254-0193

23928 Lyons Ave
Ste 205
Newhall, CA 91321
Phone (661) 254-0193

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: bayuste61394@direct.acumenmd.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1104003458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10605 BALBOA BLVD",
            "address_2": "240",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446342",
            "telephone_number": "818-366-4626",
            "fax_number": "818-366-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 BALBOA BLVD",
            "address_2": "240",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446342",
            "telephone_number": "818-366-4626",
            "fax_number": "818-366-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYUSTE",
        "first_name": "BRIAN",
        "middle_name": "BARRIOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-29",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A99851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

Verify at the official NPI Registry.