Individual provider Active NPI

Edward Lubrin Barawid, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Long Beach, CA
National Provider Identifier
1497041792
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
201A11785 Issued in CA
Practice address
5901 E. 7TH St.
Department of PM&R
Long Beach, CA 90822
Phone
(562) 826-5554
Fax
(562) 862-5175
NPI assigned
Jun 24, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 201A11785 CA Primary

Addresses

Primary practice location

5901 E. 7TH St.
Department of PM&R
Long Beach, CA 90822

Mailing address

2234 N Bellflower Blvd Unit 15691
Long Beach, CA 90815-7028
Phone (562) 888-3621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150211002249 CA Practitioner - Physical Medicine and Rehabilitation 7911222070 Practice locations: Long Beach, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201A11785CAMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1497041792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 N BELLFLOWER BLVD UNIT 15691",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908157028",
            "telephone_number": "562-888-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 E. 7TH ST.",
            "address_2": "DEPARTMENT OF PM&R",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90822",
            "telephone_number": "562-826-5554",
            "fax_number": "562-862-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAWID",
        "first_name": "EDWARD",
        "middle_name": "LUBRIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-24",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "201A11785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.