Organization Active NPI

Barry S Feldman MD Inc

  • Pulmonary Disease Physician
  • Nipomo, CA
National Provider Identifier
1831224724
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A85669 Issued in CA
Legal business name
BARRY S FELDMAN MD INC
Practice address
670 Southridge LN
Nipomo, CA 93444-5722
Phone
(805) 363-2331
Fax
(805) 347-7354
NPI assigned
Feb 22, 2007
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Melinda Carol Sinay
Title
Office Manager
Phone
(805) 347-2722

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A85669 CA
Pulmonary Disease Physician 207RP1001X A85669 CA Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X A85669 CA

Addresses

Primary practice location

670 Southridge LN
Nipomo, CA 93444-5722

Mailing address

670 Southridge LN
Nipomo, CA 93444-5722
Phone (805) 363-2331

Other identifiers 2

IdentifierTypeStateIssuer
00A856690MedicaidCA
A85669OtherCASTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060110001085 CA Part B Supplier - Clinic/Group Practice 6507889052 Receives reassigned benefits from 1 practitioner
Practice locations: Nipomo, CA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

4051 Broad St
Ste 122
San Luis Obispo, CA 93401
Phone (805) 352-1111

1329 Broad St
Ste C
Sn Luis Obisp, CA 93401
Phone (805) 785-0126

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1831224724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 SOUTHRIDGE LN",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934445722",
            "telephone_number": "805-363-2331",
            "fax_number": "805-347-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 SOUTHRIDGE LN",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934445722",
            "telephone_number": "805-363-2331",
            "fax_number": "805-347-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY S FELDMAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "SINAY",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-347-2722"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A85669",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A85669",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A85669",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A856690",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A85669",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nipomo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.