Organization Active NPI

Balbir S. Brar, M.D., Inc.

  • Internal Medicine Physician
  • Valencia, CA
National Provider Identifier
1649378084
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BALBIR S. BRAR, M.D., INC.
Practice address
23861 McBean Pkwy
Suite D16
Valencia, CA 91355
Phone
(661) 253-3008
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Authorized official

Name
Dr. Balbir S. Brar, M.D.
Title
Direct Owner
Phone
(661) 253-3008

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X

Addresses

Primary practice location

23861 McBean Pkwy
Suite D16
Valencia, CA 91355

Mailing address

P.O.Box 55283
Valencia, CA 91385-0283
Phone (661) 253-3008

Other identifiers 1

IdentifierTypeStateIssuer
OOA43171OMedicaidCA

National Provider Directory

National Provider Directory

Locations

21700 Golden Triangle Rd
Ste 205
Santa Clarita, CA 91350
Phone (661) 253-3008

23861 McBean Pkwy
Ste D16
Valencia, CA 91355
Phone (661) 253-3008

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1649378084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 55283",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913850283",
            "telephone_number": "661-253-3008",
            "fax_number": "661-253-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23861 MCBEAN PKWY",
            "address_2": "SUITE D16",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "91355",
            "telephone_number": "661-253-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALBIR S. BRAR, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "BRAR",
        "authorized_official_first_name": "BALBIR",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "661-253-3008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOA43171O",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.