Individual provider Active NPI

Brian Barnes, NP

  • Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1689782831
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP17701 Issued in CA
Practice address
757 Westwood PLZ
Los Angeles, CA 90095-3075
Phone
(310) 267-9793
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Florida College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Martin Luther King Jr Community Medical Foundation 193 clinicians
UCLA Radiology Medical Group 193 clinicians

Practice addresses (Care Compare)

135 E Compton Blvd
Compton, CA 90220-2410
Phone (424) 338-8790

1680 E 120TH St
Los Angeles, CA 90059-3026

2215 W Rosecrans Ave
Compton, CA 90222-3856

757 Westwood PLZ
Los Angeles, CA 90095-8358
Phone (310) 825-9111

Hospital & facility affiliations

  • Martin Luther King, Jr. Community Hospital Hospital, Los Angeles, CA, CCN 050779

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080514000737 CA Practitioner - Nurse Practitioner 0840395760 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN711690CAMDRegistered Nurse
NP17701CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
UCLA Radiology Medical Group CurrentSince May 24, 2015 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Nov 7, 2018 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Nov 7, 2018 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

10833 Le Conte Ave
Los Angeles, CA 90095
Phone (310) 301-8932

100 UCLA Medical Plz
Ste 100
Los Angeles, CA 90024
Phone (310) 206-8900

757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448

10833 Le Conte Ave
#64128
Los Angeles, CA 90095
Phone (310) 794-7333

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

300 UCLA Medical Plz
Ste B130
Los Angeles, CA 90095
Phone (310) 206-0456

100 Medical Plz
Ste 100
Los Angeles, CA 90095

1245 16th St
Ste 110
Santa Monica, CA 90404
Phone (310) 319-4033

100 Moody Ct
Thousand Oaks, CA 91360
Phone (805) 418-3500

Interoperability endpoints

  • Direct secure messaging: bbarnes60570@direct.uclahealth.org

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN711690 CA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X NP17701 CA
Nurse Practitioner 363L00000X NP17701 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

757 Westwood PLZ
Los Angeles, CA 90095-3075

Mailing address

5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631

Other practice location 1

1245 16th St Ste 110
Santa Monica, CA 90404-1240
Phone (310) 319-4033

Other practice location 2

100 Ucla Medical Plz Ste 100
Los Angeles, CA 90024-7000
Phone (310) 481-7545

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0RN711690MedicaidCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 18, 2019.

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1689782831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953075",
            "telephone_number": "310-267-9793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1245 16th St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041240",
            "country_code": "US",
            "telephone_number": "310-319-4033",
            "fax_number": "310-794-9035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Ucla Medical Plz Ste 100",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900247000",
            "country_code": "US",
            "telephone_number": "310-481-7545",
            "fax_number": "310-794-9035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "BRIAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN711690",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "NP17701",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP17701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0RN711690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.