Individual provider Active NPI

Phyllis L. Demonte-Barnes, N.P.

  • Acute Care Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1962715060
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
18591 Issued in CA
Practice address
24329 Crenshaw Blvd Ste a
Torrance, CA 90505-5335
Phone
(310) 868-8100
Fax
(310) 919-1800
NPI assigned
Jul 17, 2010
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 18591 CA Primary
Emergency Registered Nurse 163WE0003X NP18591 CA

Addresses

Primary practice location

24329 Crenshaw Blvd Ste a
Torrance, CA 90505-5335

Mailing address

24329 Crenshaw Blvd Ste a
Torrance, CA 90505-5335
Phone (310) 868-8100

Other practice location 1

2112 McHenry Ave Ste B
Modesto, CA 95350-3261
Phone (209) 572-2114

Other identifiers 1

IdentifierTypeStateIssuer
NP18591OtherCANP LICENSE

Other names 1

  • Phyllis Lucille Demonte-Barnes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100914000957 CA Practitioner - Nurse Practitioner 9234254210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, Davis School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

328 Woodland Dr
San Pedro, CA 90732-3252

390 N Pacific Coast Hwy
Suite 3000
El Segundo, CA 90245-4486

PO Box
Suite 9602
Mission Hills, CA 91346-9602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP18591CAMDEmergency Registered Nurse
18591CAMDAdult Companion

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Facey Medical Foundation CurrentSince Feb 11, 2020 Accepting new patients
Medison Corp CurrentSince May 20, 2026 Accepting new patients
Providence Facey Medical Foundation CurrentSince Feb 11, 2020 Accepting new patients

Locations

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
Ste B4
Calabasas, CA 91302
Phone (818) 880-2225

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

File 50670
Los Angeles, CA 90074

18460 Roscoe Blvd
Northridge, CA 91325
Phone (818) 734-3600

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

725 S Pacific Coast Hwy
Redondo Beach, CA 90277
Phone (424) 296-3100

14550 Soledad Canyon Rd
#100
Santa Clarita, CA 91387
Phone (661) 488-7402

25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020

701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400

24329 Crenshaw Blvd
Torrance, CA 90505
Phone (310) 868-8100

24329 Crenshaw Blvd
Ste A
Torrance, CA 90505
Phone (310) 868-8100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1279324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1962715060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24329 CRENSHAW BLVD STE A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055335",
            "telephone_number": "310-868-8100",
            "fax_number": "310-919-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24329 CRENSHAW BLVD STE A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055335",
            "telephone_number": "310-868-8100",
            "fax_number": "310-919-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2112 McHenry Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953503261",
            "country_code": "US",
            "telephone_number": "209-572-2114",
            "fax_number": "209-573-8701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMONTE-BARNES",
        "first_name": "PHYLLIS",
        "middle_name": "L.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-17",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "18591",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "CA",
            "license": "NP18591",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "NP18591",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHYLLIS",
            "last_name": "DEMONTE-BARNES",
            "middle_name": "LUCILLE",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.