NPIMap

Individual provider Active NPI

Barry Eibschutz, M.D.

  • Rheumatology Physician
  • San Luis Obispo, CA
National Provider Identifier
1164464566
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
G78005 Issued in CA
Practice address
1039 Murrary St
Suite 200
San Luis Obispo, CA 93405-2058
Phone
(805) 781-0702
Fax
(888) 255-4693
NPI assigned
Jun 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X G78005 CA Primary

Addresses

Primary practice location

1039 Murrary St
Suite 200
San Luis Obispo, CA 93405-2058

Mailing address

1039 Murrary St
Suite 200
San Luis Obispo, CA 93405-2058
Phone (805) 781-0702

Other identifiers 1

IdentifierTypeStateIssuer
00G780050MedicaidCA

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
I20050916000877 CA Practitioner - RheumatologyPractitioner - Internal Medicine 0941233167 Reassigns benefits to 1 organization
Practice locations: San Luis Obispo, CA

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1039 Murray Ave
Suite 200
San Luis Obispo, CA 93405-2058
Phone (805) 781-0702

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Barry Eibschutz, M.D. Inc Rheumatology CurrentSince Sep 2, 1997 Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Jan 14, 2018 Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Jan 14, 2018 Accepting new patients
Okaloosa Hospital Inc Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254

1551 Bishop St
Sn Luis Obisp, CA 93401
Phone (805) 269-1300

1551 Bishop St
Ste A160
Sn Luis Obisp, CA 93401
Phone (805) 781-4230

1551 Bishop St
Ste 230
Sn Luis Obisp, CA 93401
Phone (805) 434-5530

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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

Hospital & facility affiliations 4

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1164464566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 MURRARY ST",
            "address_2": "SUITE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934052058",
            "telephone_number": "805-781-0702",
            "fax_number": "888-225-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 MURRARY ST",
            "address_2": "SUITE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934052058",
            "telephone_number": "805-781-0702",
            "fax_number": "888-255-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIBSCHUTZ",
        "first_name": "BARRY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "G78005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G780050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.