Active NPI
Los Barrios Unidos Community Clinic, Inc.
- Federally Qualified Health Center (FQHC)
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- LOS BARRIOS UNIDOS COMMUNITY CLINIC, INC.
- Practice address
- 809 Singleton Blvd
Dallas, TX 75212-4014 - Phone
- (214) 651-8739
- Fax
- (214) 237-9103
- NPI assigned
- Sep 16, 2005
- Last updated
- Oct 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Leonor Marquez
- Title
- Ceo
- Phone
- (214) 540-0300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary |
Addresses
Primary practice location
809 Singleton Blvd
Dallas, TX 75212-4014
Mailing address
809 Singleton Blvd
Dallas, TX 75212-4014
Phone (214) 540-0300
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10022414 | Other | TX | AMERIGROUP |
| 120977704 | Medicaid | TX | |
| 120977705 | Other | TX | CSHCN |
| 3959 | Other | TX | PARKLAND COMM.HEALTH PLAN |
| 120977702 | Medicaid | TX | |
| 10003276 | Other | TX | AMERIGROUP |
| 120977701 | Medicaid | TX | |
| 120977703 | Medicaid | TX | |
| 00P022 | Other | TX | BLUE CROSS & BLUE SHIELD |
| G60091-01 | Other | TX | DELTA DENTAL STATE GOV.PR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040618001005 | TX | Part B Supplier - Clinic/Group Practice | 6103801881 |
Receives reassigned benefits from 4 practitioners Practice locations: Dallas, TX |
| O20100528000508 | TX | Part A Provider - Federally Qualified Health Center (FQHC) | 6103801881 | Practice locations: Dallas, TX |
| O20201201000109 | TX | Part A Provider - Federally Qualified Health Center (FQHC) | 6103801881 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Dallas, TX |
NPI to CCN mapping 2
The Medicare certification numbers (CCNs) connected to NPI 1164417085. Details of each certification follow.
Federally qualified health center certification: CCN 451810
- Legal name
- LOS BARRIOS UNIDOS COMMUNITY CLINIC, INC.
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Oct 1, 1991
- Last certification
- Oct 1, 1991
- Ownership / control type
- For profit – partnership
- Organization structure
- Corporation
- Incorporated
- Oct 28, 1971 in TX
- Enrollment address
- 809 Singleton Blvd
Dallas, TX 75212-4014
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
- Corporation
- 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).
-
dba LBU Health Center South
- Federally Qualified Health Center (FQHC)
- Dallas, TX
- NPI 1104476431
6103801881
-
dba LBU Health Center
- Federally Qualified Health Center (FQHC)
- Dallas, TX
- NPI 1457802449
6103801881
-
- Federally Qualified Health Center (FQHC)
- Dallas, TX
- NPI 1578874806
6103801881
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba LBU Health Center South
- Federally Qualified Health Center (FQHC)
- Dallas, TX
- NPI 1104476431
O20201201000109
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0699838 | Los Barrios Unidos Community Clinic-Adult,OB, Wic | Certificate of waiver | Sep 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
809 Singleton Blvd
Dallas, TX 75212
Phone (214) 540-0300
405 Stadium Dr
Grand Prairie, TX 75050
Phone (469) 865-1850
Ownership & related parties
All disclosed owners & managing parties 16
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Barbara S Baxter | Corporate Director | Jan 1, 1983 | |
| Larry Taylor | Corporate Director | Jan 1, 2010 | |
| Sharon J Davis | Corporate Officer | Mar 23, 2015 | |
| W-2 Managing Employee | Mar 23, 2015 | ||
| W-2 Managing Employee | Mar 23, 2015 | ||
| Steve Salazar | Corporate Director | Jan 1, 1996 | |
| Margaret Hinguanzo Daugherty | Corporate Director | Jan 1, 2004 | |
| Maria Saavedra | Corporate Director | Dec 21, 2015 | |
| Sofia Garcia | Corporate Director | Jan 1, 2010 | |
| Tralan Chace Mathis | Corporate Director | Dec 1, 2019 | |
| Yesenia Banda | Corporate Director | Jan 1, 2019 | |
| Magdalena Wolters | Corporate Director | Jan 1, 2008 | |
| William Plaff | Corporate Director | May 1, 2018 | |
| Sherlyn V Samuel-Chibuzor | Corporate Director | Mar 1, 2022 | |
| Vickie Cedillo | Corporate Director | Jan 1, 2010 | |
| Leonor Marquez | Corporate Officer | Oct 4, 2005 | |
| W-2 Managing Employee | Oct 4, 2005 | 100% | |
| Contracted Managing Employee | Oct 3, 2005 | ||
| Corporate Officer | Oct 3, 2005 | ||
| Katherine Elizabeth Sanchez | Corporate Director | Jan 1, 2013 | |
| Sheehan Rahman | Corporate Director | Jan 1, 2024 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Allergy & Immunology (Internal Medicine) Physician
- Dallas, TX
- NPI 1720035637
Corporate Director
-
- Family Medicine Physician
- Dallas, TX
- NPI 1396744314
Corporate Officer, W-2 Managing Employee
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Los Barrios Unidos Community Clinic, Inc. | 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.
-
- Federally Qualified Health Center (FQHC)
- Dallas, TX
- NPI 1578874806
Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Dallas, TX
- NPI 1063489904
-
- Maternal & Fetal Medicine Physician
- Dallas, TX
- NPI 1326024811
-
- Family Medicine Physician
- Dallas, TX
- NPI 1396744314
-
- Women's Health Nurse Practitioner
- Dallas, TX
- NPI 1033119235
-
- Podiatrist
- Dallas, TX
- NPI 1164735791
-
- Pediatrics Physician
- Dallas, TX
- NPI 1407940547
-
- Family Nurse Practitioner
- Dallas, TX
- NPI 1285019281
-
- Obstetrics & Gynecology Physician
- Dallas, TX
- NPI 1255442653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790899200000",
"number": "1164417085",
"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": "214-237-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 SINGLETON BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752124014",
"telephone_number": "214-651-8739",
"fax_number": "214-237-9103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOS BARRIOS UNIDOS COMMUNITY CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-16",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A",
"authorized_official_last_name": "MARQUEZ",
"authorized_official_first_name": "LEONOR",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "214-540-0300",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10022414",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120977704",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "120977705",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARKLAND COMM.HEALTH PLAN",
"identifier": "3959",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120977702",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10003276",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120977701",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120977703",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "00P022",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL STATE GOV.PR",
"identifier": "G60091-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Gregory Lorkowski, O.D.
- Franckiana Josee Lormeus
- Lorri Lancashire, PC
- Elizabeth Lorta, CRNA
- Los Barrios Unidos Community Clinic, Inc. (LBU Health Center South)
- Los Barrios Unidos Community Clinic, Inc. (LBU Health Center)
- Los Barrios Unidos Community Clinic, Inc.
- Ben Christopher Loschky, PA-C
- Allison Nicole Losee, LCSW
- Peter Losi, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.