Individual ProviderBrian BarnesNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address757 Westwood Plz, Los Angeles, CA 90095-3075(310) 267-9793PECOS EnrollmentBased on the most recent information from CMS, provider Brian Barnes is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 11:47 AM.Profile DetailsProvider ID1689782831Provider TypeIndividualFull NameBarnes, BrianCredentialNPGenderMaleSole ProprietorNoEnumeration Date8/28/2006Last Updated12/18/2019Contact InformationPractice LocationPractice Address757 Westwood Plz, Los Angeles, CA 90095-3075Phone(310) 267-9793FaxUnlisted FaxMailing LocationMailing Address5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseNP17701CaliforniaCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicenseRN711690CaliforniaCode208G00000XDescriptionThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansLicenseNP17701CaliforniaProvider IdentifiersIDDescriptionIssuerID0RN711690DescriptionMedicaidIssuerUnlistedCalifornia