Active NPI
Maria D Barbosa, NP
- Family Nurse Practitioner
- Hermosa Beach, CA
National Provider Identifier
1447517065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21347
- Practice address
- 651 Loma Dr Apt 2
Hermosa Beach, CA 90254-4652 - Phone
- (909) 472-5843
- NPI assigned
- Apr 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21347 | CA | Primary |
Addresses
Primary practice location
651 Loma Dr Apt 2
Hermosa Beach, CA 90254-4652
Mailing address
651 Loma Dr Apt 2
Hermosa Beach, CA 90254-4652
Phone (909) 472-5843
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21347 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334793600000",
"number": "1447517065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 LOMA DR APT 2",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902544652",
"telephone_number": "909-472-5843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 LOMA DR APT 2",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902544652",
"telephone_number": "909-472-5843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARBOSA",
"first_name": "MARIA",
"middle_name": "D",
"name_prefix": "Miss",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-19",
"last_updated": "2012-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "21347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hermosa Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.