Beverly Barboza, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G084186 Issued in CA

Practice address

320 Dardanelli LN
Suite #26B
Los Gatos, CA 95032-1440

Phone

(408) 866-6282

NPI assigned

Sep 14, 2006

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Joe Walters MD Inc. a Medical Corporation

  • Primary Care Clinic/Center
  • Saratoga, CA
  • NPI 1336367234
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1679678296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12961 VILLAGE DR",
            "address_2": "STE A",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704158",
            "telephone_number": "408-866-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 DARDANELLI LN",
            "address_2": "SUITE #26B",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321440",
            "telephone_number": "408-866-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBOZA",
        "first_name": "BEVERLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G084186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Kenneth Banting, PT, DPT
• Pamela Kaye Baraceros
• Giselle Barajas
• Misty Beatriz Barajas
• Kshitija Dinesh Barawkar, DPT
• Kyle Barcelona
• Bethanne Baretich, DC
• Poopak Barirani, PHARMD
• Claire Anne Barkley, M.A., MFT
• Fardad Baroumand, MD

• Internal Medicine Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.