Individual provider Active NPI

Virginia Lynn Barrett, M.D.

  • Internal Medicine Physician
  • Glendora, CA
National Provider Identifier
1750474557
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G35230 Issued in CA
Practice address
2025 E Route 66
Glendora, CA 91740-4670
Phone
(626) 335-4610
Fax
(626) 914-1051
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G35230 CA Primary

Addresses

Primary practice location

2025 E Route 66
Glendora, CA 91740-4670

Mailing address

2025 E Route 66
Glendora, CA 91740-4670
Phone (626) 335-4610

Other identifiers 1

IdentifierTypeStateIssuer
95-4526112OtherCATAX ID

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
I20110726000341 CA Practitioner - Internal Medicine 8527236173 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G35230CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group Internal Medicine CurrentSince May 6, 1996 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince May 6, 1996 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

2025 E Route 66
Glendora, CA 91740
Phone (323) 720-1144

1025 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 623-2225

601 Torrance Blvd
#1182
Redondo Beach, CA 90277

Interoperability endpoints

  • Direct secure messaging: virginiabarrett@hcpca.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1750474557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 E ROUTE 66",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404670",
            "telephone_number": "626-335-4610",
            "fax_number": "626-914-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E ROUTE 66",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404670",
            "telephone_number": "626-335-4610",
            "fax_number": "626-914-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "VIRGINIA",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G35230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "95-4526112",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.