Individual provider Active NPI

Kara Lauren De Winter, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Long Beach, CA
National Provider Identifier
1376989392
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
A168209 Issued in CA
Practice address
2888 Long Beach Blvd Ste 325
Long Beach, CA 90806-7503
Phone
(562) 426-4904
NPI assigned
May 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A168209 CA
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X A168209 CA Primary

Addresses

Primary practice location

2888 Long Beach Blvd Ste 325
Long Beach, CA 90806-7503

Mailing address

2888 Long Beach Blvd Ste 325
Long Beach, CA 90806-7503
Phone (562) 426-4904

Other names 1

  • Kara Lauren Barnes Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200708000357 CA Practitioner - Obstetrics/GynecologyPractitioner - Plastic and Reconstructive Surgery 9537303458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Plastic and Reconstructive Surgery
Education
Baylor College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prohealth Partners, a Medical GroupGroup PAC ID 2769388412, 236 clinicians

Practice addresses (Care Compare)

1045 Atlantic Ave
Suite 505
Long Beach, CA 90813-3422
Phone (562) 495-4952

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 728-5034

2888 Long Beach Blvd
Suite 325
Long Beach, CA 90806-7503
Phone (562) 426-4904

Hospital & facility affiliations

  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A168209CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group Current Accepting new patients
K. Lauren de Winter MD Urogynecology and Reconstructive Pelvic Surgery Current Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

3650 South St
Ste 403
Lakewood, CA 90712
Phone (562) 424-8422

2888 Long Beach Blvd
Ste 325
Long Beach, CA 90806
Phone (562) 366-0300

1045 Atlantic Ave
Ste 505
Long Beach, CA 90813
Phone (562) 437-0996

3801 Katella Ave
Ste 330
Los Alamitos, CA 90720
Phone (562) 594-9546

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kbarnes647597@direct.memorialcare.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1376989392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2888 LONG BEACH BLVD STE 325",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908067503",
            "telephone_number": "562-426-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 LONG BEACH BLVD STE 325",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908067503",
            "telephone_number": "562-426-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE WINTER",
        "first_name": "KARA",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A168209",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "CA",
            "license": "A168209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "BARNES",
            "middle_name": "LAUREN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.