Organization Active NPI

Los Barrios Unidos Community Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Dallas, TX
National Provider Identifier
1104476431
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LOS BARRIOS UNIDOS COMMUNITY CLINIC, INC.
Practice address
5787 S Hampton Rd Ste 365
Dallas, TX 75232-6336
Phone
(214) 540-0300
NPI assigned
Sep 18, 2019
Organization subpart
Yes
Parent organization
LOS BARRIOS UNIDOS COMMUNITY CLINIC, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Leonor Marquez
Title
Ceo
Phone
(214) 540-0302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

5787 S Hampton Rd Ste 365
Dallas, TX 75232-6336

Mailing address

809 Singleton Blvd
Dallas, TX 75212-4014
Phone (214) 540-0300

Other names 1

  • LBU Health Center South Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201201000109 TX Part A Provider - Federally Qualified Health Center (FQHC) 6103801881 1 other NPI on this enrollment
Practice locations: Dallas, TX

Federally qualified health center certification: CCN 451129

Legal name
LOS BARRIOS UNIDOS COMMUNITY CLINIC, INC.
Doing business as
LBU HEALTH CENTER SOUTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 30, 2020
Last certification
Nov 30, 2020
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
5787 S Hampton Rd
Ste 365
Dallas, TX 75232-6336

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2192067Lbu Health Center South5787 S Hampton Rd Suite 365, Dallas, TX 75232Certificate of waiverSep 2, 2026

National Provider Directory

National Provider Directory
Tax ID family
Los Barrios Unidos Comm3 organizations share this tax ID, including this one
Part of
Los Barrios Unidos Comm

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5787 S Hampton Rd
Ste 365
Dallas, TX 75232
Phone (214) 540-0300

4777 Vista Wood Blvd
Dallas, TX 75232

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Barbara S Baxter Individual Corporate DirectorBoard Member Jan 1, 1983
Sharon J Davis Individual Corporate OfficerCmo Mar 23, 2015
W-2 Managing EmployeeMD; Mar 23, 2015
Steve Salazar Individual Corporate DirectorBoard Member Jan 1, 1996
Margaret Hinguanzo Daugherty Individual Corporate DirectorBoard Member Jan 1, 2004
Sheehan Rahman Individual Corporate DirectorBoard Member Jan 1, 2024
Maria Saavedra Individual Corporate DirectorBoard Member Dec 21, 2015
Sofia Garcia Individual Corporate DirectorBoard Member Jan 1, 2010
Tralan Chace Mathis Individual Corporate DirectorBoard Member Dec 1, 2019
Yesenia Banda Individual Corporate DirectorBoard Member Jan 1, 2019
Magdalena Wolters Individual Corporate DirectorBoard Member Jan 1, 2008
William Plaff Individual Corporate DirectorBoard Member May 1, 2018
Sherlyn V Samuel-Chibuzor Individual Corporate DirectorBoard Member Mar 1, 2022
Vickie Cedillo Individual Corporate DirectorBoard Member Jan 1, 2010
Leonor Marquez Individual Contracted Managing EmployeeCfo Oct 3, 2005
Corporate OfficerCeo Oct 3, 2005
Katherine Elizabeth Sanchez Individual Corporate DirectorBoard Member Jan 1, 2013

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Los Barrios Unidos Community Clinic, Inc.Dallas, TX, CCN 671986 Federally qualified health center Operational/Managerial Control May 1, 2000

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1104476431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 SINGLETON BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752124014",
            "telephone_number": "214-540-0300",
            "fax_number": "214-540-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5787 S HAMPTON RD STE 365",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752326336",
            "telephone_number": "214-540-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS BARRIOS UNIDOS COMMUNITY CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOS BARRIOS UNIDOS COMMUNITY CLINIC, INC",
        "enumeration_date": "2019-09-18",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "LEONOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-540-0302"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LBU Health Center South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.