William Barclay

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

301037 Issued in CA

Practice address

11500 W Olympic Blvd Ste 415
Los Angeles, CA 90064-1536

Phone

(424) 225-1845

Fax

(310) 933-4803

NPI assigned

Sep 16, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Re Active Physical Therapy and Wellness

  • Neurology Physical Therapist
  • Los Angeles, CA
  • NPI 1952650475
  Medicare reassignment NPD

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1316617764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 W OLYMPIC BLVD STE 415",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641536",
            "telephone_number": "424-225-1845",
            "fax_number": "310-933-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 W OLYMPIC BLVD STE 415",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641536",
            "telephone_number": "424-225-1845",
            "fax_number": "310-933-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCLAY",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "301037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "auth.wept.com",
            "affiliation": "N",
            "address_1": "11500 W Olympic Blvd Ste 415",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900641536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicolas E. Barcelo, MD
• Fernando Barcelona, LMFT
• Vannesa Barcenas
• John Barchilon, MD
• Jonathan Barclay, MD
• Sue Barco
• Nazanine Barcohana, D.D.S.
• Jennifer Lynn Barczykowski
• Jeremy Scott Bard, LPT
• Boo Young Jun Bardales, DNP, AGPCNP-BC, C

• Physical Medicine & Rehabilitation Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.