Individual provider Active NPI

Leonard Paul Baros Sr., CATC

  • Addiction (Substance Use Disorder) Counselor
  • South San Francisco, CA
National Provider Identifier
1184856718
Registry record updated Aug 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2043-I Issued in CA
Practice address
2657 Wexford Ave
South San Francisco, CA 94080-5579
Phone
(650) 583-7429
NPI assigned
Aug 16, 2009
Last updated
Aug 16, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2043-I CA Primary

Addresses

Primary practice location

2657 Wexford Ave
South San Francisco, CA 94080-5579

Mailing address

2657 Wexford Ave
South San Francisco, CA 94080-5579
Phone (650) 583-7429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2043-ICAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1250380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250380800000",
    "number": "1184856718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2657 WEXFORD AVE",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805579",
            "telephone_number": "650-583-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2657 WEXFORD AVE",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805579",
            "telephone_number": "650-583-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAROS",
        "first_name": "LEONARD",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "CATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-16",
        "last_updated": "2009-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "2043-I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2009; 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.