MARIO I. BRAKIN, M.D.,F.A.A.P., INC (NPI# 1164442620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164442620 |
| Entity Type | Organization |
| Organization Name | MARIO I. BRAKIN, M.D.,F.A.A.P., INC |
| Other Organization Name | PEDIATRIC ENDOCRINOLOGY ASSOCIATES |
| Practice Address |
2650 Elm Ave Ste 210 Long Beach CA 90806-1600 |
| Practice Telephone | 5625950166 |
| Practice Fax Number | 5625956714 |
| Mailing Telephone | 5625950166 |
| Mailing Fax Number | 5625956714 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-06-05 |
| Authorized Official Name | DR. MARIO IGNACIO BRAKIN (PRESIDENT) |
| Authorized Official Telephone | 5625950166 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
A81425 | CA | Allopathic & Osteopathic Physicians |
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
A85298 | CA | Allopathic & Osteopathic Physicians |
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
A33396 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| pediatric Endocrinology Associates | Doing Business As Name - Organization |
| Street Address |
2650 ELM AVE STE 210 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801432257 | Pediatric Endocrinology Associates of Long Beach | Pediatrics | 2650 Elm Ave Ste 210, Long Beach, CA 90806-1600 | 2019-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801432257 | Pediatric Endocrinology Associates of Long Beach | Pediatrics | 2650 Elm Ave Ste 210, Long Beach, CA 90806-1600 | 2019-11-20 |
| 1982882254 | Amrit Bhangoo | Pediatrics | 2650 Elm Ave, Ste # 210, Long Beach, CA 90806-1651 | 2008-02-08 |
| 1306820071 | Pablito Garcia Nagpala | Pediatrics | 2650 Elm Ave, Suite 210, Long Beach, CA 90806-1651 | 2005-12-05 |
| 1215921028 | Mario Ignacio Brakin | Pediatrics | 2650 Elm Ave, Suite 210, Long Beach, CA 90806-1651 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497037915 | Sena Cantas Orsdemir | Pediatrics | 1 Med Plaza Dr, Irvine, CA 92697-1132 | 2011-09-10 |
| 1770720799 | John Shih-chang Ching | Pediatrics | 9300 Valley Childrens Pl # Mb23, Madera, CA 93636-8761 | 2009-01-13 |
| 1386890135 | Nicolas Leigh Cuttriss | Pediatrics | 300 Pasteur Dr Rm G-313, Stanford, CA 94305-2200 | 2008-08-13 |
| 1306017421 | Audrey Denise Briscoe | Pediatrics | 9449 East Imperial Hwy, Department of Pediatrics Suite 332, Downey, CA 90242 | 2008-03-17 |
| 1255452025 | Nadia Shaheen Sattar | Pediatrics | 39650 Liberty St Ste 140, Fremont, CA 94538-2225 | 2007-04-02 |
| 1255471975 | Huong Quynh Nguyen | Pediatrics | 7055 N Chestnut Ave, Suite 103, Fresno, CA 93720-0350 | 2007-02-08 |
| 1376659995 | Sherry L. Franklin | Pediatrics | 7910 Frost St Ste 435, San Diego, CA 92123-2771 | 2006-08-23 |
| 1124041710 | Ramin R Mogadas | Pediatrics | 9985 Sierra Ave Fl Mob, Fontana, CA 92335-6720 | 2006-07-25 |
| 1730138009 | Jordan Pinsker | Pediatrics | 2219 Bath Street, William Sansum Diabetes Center, Santa Barbara, CA 93105 | 2006-05-06 |
| 1093795684 | Ajanta Naidu | Pediatrics | Uci Medical Center, 101 The City Drive, Pavillion 1, Orange, CA 92868 | 2006-01-19 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
Please comment or provide details below to improve the information on MARIO I. BRAKIN, M.D.,F.A.A.P., INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.