Active NPI
Joey Brett MD a Professional Medical Corporation
- Family Medicine Physician
- Sherman Oaks, CA
National Provider Identifier
1003927872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A55102
- Legal business name
- JOEY BRETT MD A PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 13320 Riverside Dr
Suite 104
Sherman Oaks, CA 91423-2502 - Phone
- (818) 789-0034
- Fax
- (818) 789-0042
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joey Brett, MD
- Title
- Ceo
- Phone
- (818) 789-0034
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A55102 | CA | Primary |
Addresses
Primary practice location
13320 Riverside Dr
Suite 104
Sherman Oaks, CA 91423-2502
Mailing address
12400 Ventura Blvd
# 738
Studio City, CA 91604-2406
Phone (818) 789-0034
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003927872 | Other | CA | NPI |
| 00A551020 | Other | CA | MEDI-CAL NUMBER |
National Provider Directory
National Provider DirectoryLocations
13320 Riverside Dr
Ste 104
Sherman Oaks, CA 91423
Phone (818) 574-6189
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Sherman Oaks, CA
- NPI 1679937643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203379200000",
"number": "1003927872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12400 VENTURA BLVD",
"address_2": "# 738",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916042406",
"telephone_number": "818-789-0034",
"fax_number": "818-789-0042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13320 RIVERSIDE DR",
"address_2": "SUITE 104",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914232502",
"telephone_number": "818-789-0034",
"fax_number": "818-789-0042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOEY BRETT MD A PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2008-02-19",
"status": "A",
"authorized_official_last_name": "BRETT",
"authorized_official_first_name": "JOEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-789-0034",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A55102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1003927872",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL NUMBER",
"identifier": "00A551020",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.