BRENT BROWN (NPI# 1265748040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265748040 |
| Entity Type | Individual |
| Full Name | BRENT BROWN |
| Credential | D.O. |
| Practice Address |
4647 Zion Ave San Diego CA 92120-2507 |
| Practice Telephone | 6195285000 |
| Mailing Telephone | 6195285000 |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2016-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036086005 | IL | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 14508 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE | 125057489 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669684445 | Brent David Brown | Chiropractor | 1261 Normandy Way, #2, Santa Clara, CA 95050 | 2007-05-04 |
| 1194386730 | Brent Brown | Behavior Technician | 400 Nola Ruth Blvd, Harker Heights, TX 76548-1549 | 2019-06-25 |
| 1689760878 | Brent L Brown | Counselor | 1200 N El Dorado Pl, Suite F-620, Tucson, AZ 85715-4637 | 2006-10-05 |
| 1881662971 | Brent R Brown | Internal Medicine | 825 Ne 10th St, Oupb 2500, Oklahoma City, OK 73104-5417 | 2006-03-14 |
| Street Address |
4647 ZION AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356332373 | Jon Thomas Umlauf | Family Medicine | 4647 Zion Ave, San Diego, CA 92120 | 2005-10-31 |
| 1316586076 | Michael Lam | Pharmacist | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-12-29 |
| 1093358772 | Kaily Walters | Dietitian, Registered | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-10-24 |
| 1023650496 | Michael Dean Perry | Radiology | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-10-17 |
| 1912558297 | Vishnavi Pailla Reddy | Pharmacist | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-09-26 |
| 1124678016 | Raymond Sami Totah | Pharmacist | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-09-12 |
| 1225699416 | Thao Phuong Nguyen | Pharmacist | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-06-27 |
| 1790340073 | Edwin Uribe Contreras | Student in an Organized Health Care Education/Training Program | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-05-02 |
| 1588229835 | Anthony Jacob Sutton Mells | Student in an Organized Health Care Education/Training Program | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-05-02 |
| 1295399640 | Richard William Comeaux | Student in an Organized Health Care Education/Training Program | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124481098 | Clari Nguyen | Hospitalist | 9455 Clairemont Mesa Blvd # Ca92123, San Diego, CA 92123-1297 | 2016-03-30 |
| 1609294313 | Sanjeev Tyagi | Hospitalist | 200 W Arbor Dr # 8425, San Diego, CA 92103-1911 | 2014-03-31 |
| 1912206483 | Alan Chia Yi Lin | Hospitalist | 4077 Fifth Ave # Mer127, San Diego, CA 92103-2105 | 2011-03-22 |
| 1952625485 | Ambrose Health P C | Hospitalist | 15622 Jube Wright Ct, San Diego, CA 92127-5101 | 2010-03-26 |
| 1518102391 | Sahar Mosadegh | Hospitalist | 501 Washington St Ste 525, San Diego, CA 92103-2239 | 2008-12-09 |
| 1497944656 | Robert E El-kareh | Hospitalist | 200 W Arbor Dr # 8485, San Diego, CA 92103-1911 | 2007-10-23 |
| 1669944369 | Kathleen Marie Mackessy | Hospitalist | 6155 Cornerstone Ct E Ste 220, San Diego, CA 92121-4737 | 2018-12-19 |
| 1730618521 | Ali Asghar Jr. | Hospitalist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2017-06-06 |
| 1588198147 | Sherry Zhang | Hospitalist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2017-04-20 |
| 1134651607 | Samantha Spilman I | Hospitalist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2017-04-03 |
| Find all providers in SAN DIEGO | ||||
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| 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.