MR. TIMOTHY DAWAYNE BARMORE PA
NPI 1033265285
Physician Assistant - Medical in El Segundo, CA

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Active since January 27, 2007PECOS Enrolled

390 N SEPULVEDA BLVD, 1000, EL SEGUNDO, CA 90245(310) 343-6030(310) 640-9690 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Timothy Dawayne Barmore Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TIMOTHY DAWAYNE BARMORE PA (NPI 1033265285) is an individual medical provider in El Segundo, California, licensed in California (PA15444) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033265285

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. TIMOTHY DAWAYNE BARMORECredential: PA

Location Address390 N SEPULVEDA BLVD, 1000El Segundo, CA 90245-4475

Mailing Address4727 W 147th St Apt 204Lawndale, CA 90260-1307 · (310) 977-9439

Phone(310) 343-6030

Fax(310) 640-9690

Sole ProprietorNo

Enumeration DateJanuary 27, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1033265285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA15444

390 N SEPULVEDA BLVD, El Segundo, CA 90245

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Timothy Dawayne Barmore Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.