Active NPI
Dr. Rodney Barron Medical Clinic, Inc.
- Geriatric Medicine (Family Medicine) Physician
- Los Angeles, CA
National Provider Identifier
1578891867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- Legal business name
- DR. RODNEY BARRON MEDICAL CLINIC, INC.
- Practice address
- 1211 N Vermont Ave
Suite 205
Los Angeles, CA 90029-1748 - Phone
- (323) 664-4114
- Fax
- (323) 664-4044
- NPI assigned
- Nov 24, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rodney Stephen Barron, M.D.
- Title
- Director
- Phone
- (323) 664-4114
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | Primary | ||
| Urology Physician | 208800000X | |||
| General Practice Physician | 208D00000X |
Addresses
Primary practice location
1211 N Vermont Ave
Suite 205
Los Angeles, CA 90029-1748
Mailing address
1211 N Vermont Ave
Suite 205
Los Angeles, CA 90029-1748
Phone (323) 664-4114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G40052 | Other | CA | STATE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277942400000",
"number": "1578891867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 N VERMONT AVE",
"address_2": "SUITE 205",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900291748",
"telephone_number": "323-664-4114",
"fax_number": "323-664-4144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 N VERMONT AVE",
"address_2": "SUITE 205",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900291748",
"telephone_number": "323-664-4114",
"fax_number": "323-664-4044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. RODNEY BARRON MEDICAL CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-24",
"last_updated": "2010-07-01",
"status": "A",
"authorized_official_last_name": "BARRON",
"authorized_official_first_name": "RODNEY",
"authorized_official_middle_name": "STEPHEN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "323-664-4114",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "G40052",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.