Individual provider Active NPI

Edward Vincent Barnes II, M.D.

  • Nephrology Physician
  • Pomona, CA
National Provider Identifier
1689664484
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A82407 Issued in CA
Practice address
795 E 2ND St
Suite 4
Pomona, CA 91766-2007
Phone
(909) 706-3779
Fax
(909) 865-2955
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A82407 CA
Nephrology Physician 207RN0300X A82407 CA Primary

Addresses

Primary practice location

795 E 2ND St
Suite 4
Pomona, CA 91766-2007

Mailing address

309 E 2ND St
Suite 2215 Or 2255
Pomona, CA 91766-1854
Phone (909) 469-8332

Other identifiers 3

IdentifierTypeStateIssuer
DG529YOtherCAMEDICARE SOUTHERN CALIFORNIA
DG529ZOtherCAMEDICARE NORTHERN CALIFORNIA
A82407OtherCACA STATE

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
I20101015000857 CA Practitioner - Nephrology 6002009586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Kansas School of Med (KC/Wich/Sal), 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western University of Health SciencesGroup PAC ID 0648208991, 50 clinicians

Practice addresses (Care Compare)

255 E Bonita Ave
Pomona, CA 91767-1923
Phone (909) 469-8673

795 E 2ND St
Pomona, CA 91766-2007
Phone (909) 469-8673

Hospital & facility affiliations

  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
68.78
Improvement activities
40
Cost
78.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A82407CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western University of Health Sciences CurrentSince Jun 14, 2010 Accepting new patients
Western University of Health Sciences Internal Medicine Current Accepting new patients
Western University of Health Sciences CurrentSince Jun 14, 2010 Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients

Locations

26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610

795 E 2nd St
Ste 5
Pomona, CA 91766
Phone (909) 706-3877

795 E 2nd St
Ste 4
Pomona, CA 91766
Phone (909) 706-3779

795 E 2nd St
Ste 8
Pomona, CA 91766
Phone (909) 469-8673

309 E 2nd St
Ste 2215
Pomona, CA 91766

8686 Haven Ave
Ste 200
Rancho Cucamonga, CA 91730
Phone (909) 706-3950

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1689664484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E 2ND ST",
            "address_2": "SUITE 2215 OR 2255",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917661854",
            "telephone_number": "909-469-8332",
            "fax_number": "909-706-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 E 2ND ST",
            "address_2": "SUITE 4",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917662007",
            "telephone_number": "909-706-3779",
            "fax_number": "909-865-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "EDWARD",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A82407",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A82407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SOUTHERN CALIFORNIA",
            "identifier": "DG529Y",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NORTHERN CALIFORNIA",
            "identifier": "DG529Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE",
            "identifier": "A82407",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.