NPIMap

Organization Active NPI

Sean a. Barlow, M.D.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Palm Desert, CA
National Provider Identifier
1760587489
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
G078296 Issued in CA
Legal business name
SEAN A. BARLOW, M.D.
Practice address
41990 Cook St, BLDG F, Suite 2008
Palm Desert, CA 92234
Phone
(760) 674-9777
Fax
(760) 674-0355
NPI assigned
Sep 14, 2006
Organization subpart
Yes
Parent organization
SEAN ARTHUR BARLOW, MD A PROFESSIONAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Dr. Sean Arthur Barlow, M.D.
Title
President
Phone
(760) 674-9777

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084A0401X GO782496 CA
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084A0401X G078296 CA Primary

Addresses

Primary practice location

41990 Cook St, BLDG F, Suite 2008
Palm Desert, CA 92234

Mailing address

41990 Cook St, BLDG. F, Suite 2008
Palm Desert, CA 92211
Phone (760) 674-9777

Other identifiers 2

IdentifierTypeStateIssuer
33BDC7MedicaidAR
33BDC7OtherCAMEDI-CAL

National Provider Directory

National Provider Directory
Part of
Sean a Barlow

Locations

41990 Cook St
Ste 2008
Palm Desert, CA 92211
Phone (760) 674-9777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1760587489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41990 COOK ST, BLDG. F, SUITE 2008",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92211",
            "telephone_number": "760-674-9777",
            "fax_number": "760-674-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41990 COOK ST, BLDG F, SUITE 2008",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92234",
            "telephone_number": "760-674-9777",
            "fax_number": "760-674-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN A. BARLOW, M.D.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEAN ARTHUR BARLOW, MD A PROFESSIONAL CORPORATION",
        "enumeration_date": "2006-09-14",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "BARLOW",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-674-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "GO782496",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "G078296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33BDC7",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "33BDC7",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.