Individual provider Active NPI

Revery P Barnes, MD

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1669812467
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A141701 Issued in CA
Practice address
5850 S Main St
Los Angeles, CA 90003-1215
Phone
(323) 250-3023
NPI assigned
Jun 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A141701 CA Primary

Addresses

Primary practice location

5850 S Main St
Los Angeles, CA 90003-1215

Mailing address

5850 S Main St
Los Angeles, CA 90003-1215
Phone (323) 897-6080

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180118002704 CA Practitioner - Family PracticePractitioner - Infectious Disease 9638438666 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chaparral Medical Group IncGroup PAC ID 6800709403, 66 clinicians
County of Los AngelesGroup PAC ID 1850296534, 395 clinicians

Practice addresses (Care Compare)

1866 N Orange Grove Ave
Suite 104
Pomona, CA 91767-3042
Phone (909) 629-3062

5850 S Main St
Los Angeles, CA 90003-1215
Phone (323) 897-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A141701CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Oct 23, 2020 Accepting new patients
County of Los Angeles Current Accepting new patients
Chaparral Medical Group Inc. CurrentSince Sep 9, 2025 Accepting new patients
Chaparral Medical Group, Inc. Current Accepting new patients
County of Los Angeles CurrentSince Oct 23, 2020 Accepting new patients
County of Los Angeles CurrentSince Oct 23, 2020 Accepting new patients
Chaparral Medical Group Inc CurrentSince Sep 9, 2025 Accepting new patients

Locations

1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1670 E 120th St
Los Angeles, CA 90059
Phone (424) 338-1000

5850 S Main St
Los Angeles, CA 90003
Phone (323) 846-4312

1801 W Olympic Blvd
Pasadena, CA 91199

1866 N Orange Grove Ave
Ste 104
Pomona, CA 91767
Phone (909) 591-6414

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1669812467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 S MAIN ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900031215",
            "telephone_number": "323-897-6080",
            "fax_number": "213-238-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 S MAIN ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900031215",
            "telephone_number": "323-250-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "REVERY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A141701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.