Individual provider Active NPI

Vilma Gonzalez-Barreto, MD

  • Obstetrics & Gynecology Physician
  • Inglewood, CA
National Provider Identifier
1720089642
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G86233 Issued in CA
Practice address
575 E Hardy St
Suite 109
Inglewood, CA 90301-4036
Phone
(310) 419-8585
Fax
(310) 419-8553
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G86233 CA Primary

Addresses

Primary practice location

575 E Hardy St
Suite 109
Inglewood, CA 90301-4036

Mailing address

11539 Hawthorne Blvd
6TH Floor
Hawthorne, CA 90250-2325
Phone (310) 675-5370

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
I20160120002626 CA Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 7911936711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86233CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
La Vida Multi-Specialty Medical Group Past Accepting new patients
La Vida Multispecialty Medical Group Inc Past Accepting new patients
Prairie Medical Group Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720089642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11539 HAWTHORNE BLVD",
            "address_2": "6TH FLOOR",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502325",
            "telephone_number": "310-675-5370",
            "fax_number": "310-531-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 E HARDY ST",
            "address_2": "SUITE 109",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014036",
            "telephone_number": "310-419-8585",
            "fax_number": "310-419-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-BARRETO",
        "first_name": "VILMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G86233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.