Individual provider Active NPI

Lilly Barba, M.D.

  • Nephrology Physician
  • Torrance, CA
National Provider Identifier
1407835978
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A41616 Issued in CA
Practice address
21840 Normandie Ave
Ste. 700
Torrance, CA 90502-2047
Phone
(310) 222-5101
Fax
(310) 320-5463
NPI assigned
Jan 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A41616 CA Primary

Addresses

Primary practice location

21840 Normandie Ave
Ste. 700
Torrance, CA 90502-2047

Mailing address

21840 Normandie Ave
Ste. 700
Torrance, CA 90502-2047
Phone (310) 222-5101

Other identifiers 1

IdentifierTypeStateIssuer
00A16160MedicaidCA

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
I20111202000266 CA Practitioner - NephrologyPractitioner - Internal Medicine 4880869809 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A41616CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Jul 1, 1999 Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince Aug 1, 2019 Accepting new patients
County of Los Angeles CurrentSince Jul 1, 1999 Accepting new patients
Prohealth Partners, a Medical Group Nephrology CurrentSince Aug 1, 2019 Accepting new patients
Prohealth Partners, a Medical Group Current Accepting new patients
Prohealth Partners a Medical Group Inc Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

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

1124 W Carson St
Torrance, CA 90502
Phone (310) 222-2773

21840 Normandie Ave
Ste 700
Torrance, CA 90502
Phone (310) 222-5101

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

20911 Earl St
Ste 180
Torrance, CA 90503
Phone (310) 370-4660

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1407835978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21840 NORMANDIE AVE",
            "address_2": "STE. 700",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022047",
            "telephone_number": "310-222-5101",
            "fax_number": "310-320-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21840 NORMANDIE AVE",
            "address_2": "STE. 700",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022047",
            "telephone_number": "310-222-5101",
            "fax_number": "310-320-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBA",
        "first_name": "LILLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A41616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A16160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.