Barry J Wallman MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G58527 Issued in CA

Legal business name

BARRY J WALLMAN MD

Practice address

29525 Can Wood St # 305
Agoura Hills, CA 91301

Phone

(818) 707-7789

Fax

(818) 707-7797

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Barry J Wallman, MDNPI 1952318461

Title

Sole Proprietor

Phone

(818) 707-7789

Specialties & licenses 2

Addresses

Other names 1

• West Hills Family Practice Medical Group Doing business as

Locations

Practitioners 1

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

• Barry Jay Wallman

  • Family Medicine Physician
  • Agoura Hills, CA
  • NPI 1952318461
  NPD Authorized official

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154491934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29525 CAN WOOD ST # 305",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "91301",
            "telephone_number": "818-707-7789",
            "fax_number": "818-707-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29525 CAN WOOD ST # 305",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "91301",
            "telephone_number": "818-707-7789",
            "fax_number": "818-707-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY J WALLMAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLMAN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "818-707-7789",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G58527",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G72087",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Hills Family Practice Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Atkerson
• Patti Kentor Aung, R.N., R.D.
• Mishal Rashid Baig, PHARMACIST
• Bajwa Enterprises
• Kim B Barrus, PH.D.
• Richelle Bart, BCBA
• Barton Physical Therapy, Inc.
• Nicolas Barton, MPT
• Basso Pharmacy, Inc.
• Basso Pharmacy, Inc.

• Family Medicine Physician in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Family Medicine Physician in California

• 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.