Organization Active NPI

Barlow Pulmonary Med GRP Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1174523831
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
W10197/GR0026170 Issued in CA
Legal business name
BARLOW PULMONARY MED GRP INC
Practice address
2000 Stadium Way
Los Angeles, CA 90026-2606
Phone
(213) 250-4200
Fax
(213) 250-3274
NPI assigned
Jul 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Victoria S Melchor
Title
Office Manager
Phone
(213) 250-4200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X W10197/GR0026170 CA
Sleep Disorder Diagnostic Clinic/Center 261QS1200X W10197/GR0026170 CA Primary

Addresses

Primary practice location

2000 Stadium Way
Los Angeles, CA 90026-2606

Mailing address

2000 Stadium Way
Los Angeles, CA 90026-2606
Phone (213) 250-4200

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ23809ZOtherCAOTHER
GR0026170MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050125001117 CA Part B Supplier - Clinic/Group Practice 1658321849 Receives reassigned benefits from 3 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1174523831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 STADIUM WAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900262606",
            "telephone_number": "213-250-4200",
            "fax_number": "213-250-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 STADIUM WAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900262606",
            "telephone_number": "213-250-4200",
            "fax_number": "213-250-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARLOW PULMONARY MED GRP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MELCHOR",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "213-250-4200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "W10197/GR0026170",
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "CA",
            "license": "W10197/GR0026170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "ZZZ23809Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0026170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.