NPIMap

Organization Active NPI

Los Barrios Unidos Community Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Dallas, TX
National Provider Identifier
1578874806
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LOS BARRIOS UNIDOS COMMUNITY CLINIC, INC.
Practice address
3111 Sylvan Ave
Dallas, TX 75212-4028
Phone
(214) 651-8739
Fax
(214) 379-2281
NPI assigned
Jul 1, 2010
Last updated
Oct 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Authorized official

Name
Leonor Marquez
Title
Ceo
Phone
(214) 540-0302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

3111 Sylvan Ave
Dallas, TX 75212-4028

Mailing address

809 Singleton Blvd
Dallas, TX 75212-4014
Phone (214) 540-0300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101108000470 TX Part A Provider - Federally Qualified Health Center (FQHC) 6103801881 Practice locations: Dallas, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578874806. Details of each certification follow.

Federally qualified health center certification: CCN 671986

Legal name
LOS BARRIOS UNIDOS COMMUNITY CLINIC, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 11, 2012
Last certification
Jul 11, 2012
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 28, 1971 in TX
Enrollment address
3111 Sylvan Ave
Dallas, TX 75212-4028

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0985146Los Barrios Unidos Community Clinic-Pediatric3111 Sylvan Avenue, Dallas, TX 75212Certificate of waiverSep 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Los Barrios Unidos Community Clinic Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3111 Sylvan Ave
Dallas, TX 75212
Phone (214) 540-0030

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Barbara S Baxter Individual Corporate Director Jan 1, 1983
Larry Taylor Individual Corporate Director Jan 1, 2010
Sharon J Davis Individual Corporate Officer Mar 23, 2015
Margaret Hinguanzo Daugherty Individual Corporate Director Jan 1, 2004
Maria Saavedra Individual Corporate Director Dec 21, 2015
Sofia Garcia Individual Corporate Director Jan 1, 2010
Magdalena Wolters Individual Corporate Director Jan 1, 2008
Los Barrios Unidos Community Clinic, Inc. Organization, Dallas, TX Operational/Managerial Control May 1, 2000
Rebecca Corona Individual Corporate Director Feb 22, 2016
Vickie Cedillo Individual Corporate Director Jan 1, 2010
Leonor Marquez Individual Corporate Director Oct 4, 2005
W-2 Managing Employee Oct 4, 2005
Elizabeth C Lopez Individual Corporate Director Jan 1, 2009

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1578874806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 SINGLETON BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752124014",
            "telephone_number": "214-540-0300",
            "fax_number": "214-651-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 SYLVAN AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752124028",
            "telephone_number": "214-651-8739",
            "fax_number": "214-379-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS BARRIOS UNIDOS COMMUNITY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "LEONOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-540-0302"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.