Active NPI
Barstow Primary Care Clinic
- Internal Medicine Physician
- Barstow, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- BARSTOW PRIMARY CARE CLINIC
- Practice address
- 805 Mountain View
Barstow, CA 92311-3033 - Phone
- (760) 256-7161
- NPI assigned
- May 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura J Fey
- Title
- Sr. Director Physician Revenue Cycl
- Phone
- (615) 221-3641
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
805 Mountain View
Barstow, CA 92311-3033
Mailing address
805 Mountain View
Barstow, CA 92311-3033
Phone (760) 256-7161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
16124 Kasota Rd
Ste Ab
Apple Valley, CA 92307
16124 Kasota Rd
Ste A
Apple Valley, CA 92307
Phone (619) 242-2099
805 E Mountain View St
Barstow, CA 92311
Phone (760) 256-5026
803 E MTN VW St
Barstow, CA 92311
500 S 7th Ave
Ste A
Barstow, CA 92311
Phone (760) 252-2168
500 S 7th Ave
Ste D
Barstow, CA 92311
Phone (760) 256-1777
15065 Vista Rd
Unit 7
Helendale, CA 92342
Phone (760) 243-2900
Interoperability endpoints
- https://api.platform.athenahealth.com/7705/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics Physician
- Apple Valley, CA
- NPI 1639245806
CA, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675728000000",
"number": "1871904656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 MOUNTAIN VIEW",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923113033",
"telephone_number": "760-256-7161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 MOUNTAIN VIEW",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923113033",
"telephone_number": "760-256-7161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARSTOW PRIMARY CARE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-14",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A",
"authorized_official_last_name": "FEY",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "SR. DIRECTOR PHYSICIAN REVENUE CYCL",
"authorized_official_telephone_number": "615-221-3641"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barstow, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.