Active NPI
Barbara Lynne Clutter, M.D.
- Obstetrics & Gynecology Physician
- San Luis Obispo, CA
National Provider Identifier
1720004237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G58759
- Practice address
- 100 Casa St
Suite B
San Luis Obispo, CA 93405-1883 - Phone
- (805) 544-8811
- Fax
- (805) 544-8997
- NPI assigned
- Jul 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G58759 | CA | Primary |
Addresses
Primary practice location
100 Casa St
Suite B
San Luis Obispo, CA 93405-1883
Mailing address
100 Casa St
Suite B
San Luis Obispo, CA 93405-1883
Phone (805) 544-8811
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G587590 | Medicaid | CA | |
| GR0092202 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1720004237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CASA ST",
"address_2": "SUITE B",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934051883",
"telephone_number": "805-544-8811",
"fax_number": "805-548-0777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CASA ST",
"address_2": "SUITE B",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934051883",
"telephone_number": "805-544-8811",
"fax_number": "805-544-8997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLUTTER",
"first_name": "BARBARA",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G58759",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G587590",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0092202",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.