Dr. Bethany Barnes Medical

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

1595 Issued in TX

Legal business name

DR. BETHANY BARNES MEDICAL

Practice address

955 Carrillo Dr Ste 105
Los Angeles, CA 90048-5400

Phone

(323) 332-9871

NPI assigned

May 25, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Bethany A Barnes, M.D.

Title

Director

Phone

(323) 332-9871

Specialties & licenses 1

Addresses

Other names 1

• Dr. Bethany Barnes Other name

Locations

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1750739249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3826 GRAND VIEW BLVD",
            "address_2": "#661154",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900664406",
            "telephone_number": "323-332-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 CARRILLO DR STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485400",
            "telephone_number": "323-332-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BETHANY BARNES MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "323-332-9871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "1595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Bethany Barnes",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Allergy & Immunology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.