NPIMap

Organization Active NPI

Barbour & Floyd Medical Associates

  • Community/Behavioral Health Agency
  • Lynwood, CA
National Provider Identifier
1780713420
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BARBOUR & FLOYD MEDICAL ASSOCIATES
Practice address
2640 Industry Way
Suite B
Lynwood, CA 90262-4000
Phone
(310) 627-4525
Fax
(310) 627-4531
NPI assigned
Mar 5, 2007
Last updated
Jul 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Authorized official

Name
Jack Barbour, M.D.NPI 1568482792
Title
Co-Director
Phone
(310) 631-8004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2640 Industry Way
Suite B
Lynwood, CA 90262-4000

Mailing address

2610 Industry Way
Suite a
Lynwood, CA 90262-4028
Phone (310) 631-8004

Other identifiers 1

IdentifierTypeStateIssuer
7218OtherCAPROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101004000982 CA Part B Supplier - Clinic/Group Practice 8729117411 Receives reassigned benefits from 3 practitioners
2 other NPIs on this enrollment
Practice locations: Lynwood, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Barbour Floyd Medical Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2640 Industry Way
Ste B
Lynwood, CA 90262
Phone (310) 627-4525

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1780713420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 INDUSTRY WAY",
            "address_2": "SUITE A",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902624028",
            "telephone_number": "310-631-8004",
            "fax_number": "323-905-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 INDUSTRY WAY",
            "address_2": "SUITE B",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902624000",
            "telephone_number": "310-627-4525",
            "fax_number": "310-627-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBOUR & FLOYD MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "BARBOUR",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "310-631-8004",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "7218",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.