Brian K. Estwick, M.D., Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A41775 Issued in CA

Legal business name

BRIAN K. ESTWICK, M.D., INC.

Practice address

4644 Lincoln Blvd
Suite 430
Marina del Rey, CA 90292-6313

Phone

(310) 390-2420

Fax

(310) 392-2364

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brian Keith Estwick, M.D.

Title

Medical Director

Phone

(310) 390-2420

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1003953530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 29TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904052916",
            "telephone_number": "310-568-8579",
            "fax_number": "310-450-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4644 LINCOLN BLVD",
            "address_2": "SUITE 430",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926313",
            "telephone_number": "310-390-2420",
            "fax_number": "310-392-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN K. ESTWICK, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "ESTWICK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-390-2420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A41775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A417750",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1003889247",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Brahce, D.P.T.
• Zayra Bravo
• Robert S Bray Jr., M.D.
• Gary Brazina, M. D.
• Seth Adam Brener, M.D.
• Connie Elaine Bright, SPEECH LANGUAGE PATH
• Karen Eiko Brodersen, PHARM.D.
• Nicki Broeking, PSY.D
• Mykeea Brown
• Sherrell Rita Brown

• Ophthalmology Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.