Organization Active NPI

Juan E Barros

  • Cardiology Technician
  • Walnut, CA
National Provider Identifier
1386740090
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiology TechnicianTaxonomy code 246W00000X
Legal business name
JUAN E BARROS
Practice address
19201 Amalfi CT
Walnut, CA 91789-4204
Phone
(626) 810-0800
Fax
(626) 435-0251
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Mr. Juan E Barros, RDMS,RDCS,RVT,CCT
Title
Owner
Phone
(626) 810-0800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiology TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246W00000X Primary
Sonography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471S1302X
Vascular Sonography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471V0105X

Addresses

Primary practice location

19201 Amalfi CT
Walnut, CA 91789-4204

Mailing address

19201 Amalfi CT
Walnut, CA 91789-4204
Phone (626) 810-0800

Other names 1

  • L.A. ULTRASOUND DIAGNOSTICS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031215001005 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4385541697 Practice locations: Walnut, CA

National Provider Directory

National Provider Directory

Locations

6611 Seville Ave
Huntington Pk, CA 90255
Phone (323) 583-6679

5036 Passons Blvd
Ste 2
Pico Rivera, CA 90660
Phone (562) 654-2800

Practitioners & affiliated clinicians

Practitioners 3

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": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1386740090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19201 AMALFI CT",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917894204",
            "telephone_number": "626-810-0800",
            "fax_number": "626-435-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19201 AMALFI CT",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917894204",
            "telephone_number": "626-810-0800",
            "fax_number": "626-435-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN E BARROS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "BARROS",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-810-0800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDMS,RDCS,RVT,CCT"
    },
    "taxonomies": [
        {
            "code": "246W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Cardiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L.A. ULTRASOUND DIAGNOSTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.