Kirsta Lynn Brummel, DO

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

20A11590 Issued in CA

Practice address

16776 Bernardo Center Dr Ste 203
San Diego, CA 92128-2559

Phone

(619) 929-0818

NPI assigned

Feb 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr. Kirsta Lynn Schoeff Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2025 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1003085481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14781 POMERADO RD STE 520",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642802",
            "telephone_number": "619-929-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16776 BERNARDO CENTER DR STE 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282559",
            "telephone_number": "619-929-0818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7910 Frost St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921232771",
            "country_code": "US",
            "telephone_number": "858-309-7702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "251 E 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920254901",
            "country_code": "US",
            "telephone_number": "760-738-9985",
            "fax_number": "800-838-2695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUMMEL",
        "first_name": "KIRSTA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "067987",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "20A11590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020A11590",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/GA",
            "identifier": "52599673 001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTA",
            "last_name": "SCHOEFF",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joshua Daniel Bruhn, MD
• Kiana Brumand, DDS
• Sasson Brumand, DMD
• Julie Denise Brumbaugh, IMF 43514
• Sydney Joy Brumidis, RN
• Kevin Thomas Brumund, MD
• Priscilla Brun
• Job Brunat
• Tad Bruneau, OT
• Lauren Brunell

• Ophthalmology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.