Joilo Barbosa, M.D.
Individual provider Active NPI Emergency Medicine Physician · Walla Walla, WA
NPI 1235243155 · NPPES record last updated Apr 1, 2024
Key facts
- NPI
- 1235243155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- G159851 (CA)
- Practice address
- 123 E Main St # 268
Walla Walla, WA 99362-1923 - Phone
- (509) 529-2966
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 12
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190211002880 | CA | Practitioner - Emergency Medicine | 3971591397 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6174 | MN | MD | Chiropractor |
| G159851 | CA | MD | Emergency Medicine Physician |
| 000043302 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Emergency Medicine | Current |
Accepting new patients |
| Nes Western Group, a Professional Corporation | Emergency Medicine | Current |
Accepting new patients |
| Cep America-California | Emergency Medicine | Current |
Accepting new patients |
| Cep America - California | Emergency Medicine | Current |
Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Santa Ynez River Physicians, PC | Emergency Medicine | Current |
Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Nes Western Group, a Professional Corporation | Emergency Medicine | Current |
Accepting new patients |
| DHHS PHS Naihs Fort Defiance Hospital | Past | Accepting new patients | |
| Emcare Physician Providers, Inc | Emergency Medicine | Past | Accepting new patients |
| Southwest Emergency Physicians, PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000
2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
1401 Garces Hwy
Delano, CA 93215
Phone (661) 381-7545
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1515 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-3300
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468
Interoperability endpoints
- jbarbosa329693@ahs.direct-ci.com
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 000043302 | WA | |
| Emergency Medicine Physician | 207P00000X | G159851 | CA | Yes |
Addresses
Primary practice location
123 E Main St # 268
Walla Walla, WA 99362-1923
Mailing address
123 E Main St # 268
Walla Walla, WA 99362-1923
NPI Registry JSON
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1235243155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 E MAIN ST # 268",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993621923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 E MAIN ST # 268",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993621923",
"telephone_number": "509-529-2966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARBOSA",
"first_name": "JOILO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "000043302",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G159851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walla Walla, WA
- Delwyn Richard Baker
- Nathan Baker
- Eric M Ball
- Thomas W Ballard
- Jessa Nicole Bame
- Dave Paul Barcenas
- Bruce E Barga
- Shauna Barker
- Bret Daniel Barnes
- Emily Baron
All providers in Walla Walla, WA · Emergency Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.