Sara Barsoum

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95025655 Issued in CA

Practice address

720 Alamitos Ave
Long Beach, CA 90813-4726

Phone

(562) 546-2496

NPI assigned

Sep 18, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ahmad Khalifa, M.D., Apc

  • Obstetrics & Gynecology Physician
  • Long Beach, CA
  • NPI 1942449285
  Medicare reassignment NPD

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1639957145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8589 SAN ROMOLO WAY",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203513",
            "telephone_number": "714-366-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ALAMITOS AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134726",
            "telephone_number": "562-546-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSOUM",
        "first_name": "SARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olenka Barry
• Paul Barry
• Sheila Lynn Barry
• Taleen Barsam
• Haig Barsegian, M.A.,LMFT
• Carol Bartels, M.F.T.
• Karen Christina Bartholomew
• Amy Bartlett
• Leisle Bartley
• Cristina Bartlomain

• Family Nurse Practitioner in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.