Organization Active NPI

Domingo C Barrientos,MD

  • Family Medicine Physician
  • Van Nuys, CA
National Provider Identifier
1255475356
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A56239 Issued in CA
Legal business name
DOMINGO C BARRIENTOS,MD
Practice address
14044 Victory Blvd
Van Nuys, CA 91401-2226
Phone
(818) 376-0405
Fax
(818) 376-0461
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Domingo Chua Barrientos, M.D.
Title
President
Phone
(818) 376-0405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A56239 CA Primary

Addresses

Primary practice location

14044 Victory Blvd
Van Nuys, CA 91401-2226

Mailing address

17216 Saticoy St PMB 347
Van Nuys, CA 91406-2103
Phone (818) 376-0405

National Provider Directory

National Provider Directory

Locations

14044 Victory Blvd
Van Nuys, CA 91401
Phone (818) 376-0405

Practitioners & affiliated clinicians

Practitioners 1

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255475356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17216 SATICOY ST PMB 347",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914062103",
            "telephone_number": "818-376-0405",
            "fax_number": "818-376-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14044 VICTORY BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012226",
            "telephone_number": "818-376-0405",
            "fax_number": "818-376-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINGO C BARRIENTOS,MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARRIENTOS",
        "authorized_official_first_name": "DOMINGO",
        "authorized_official_middle_name": "CHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-376-0405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A56239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.