Kimberly Andrea Brisco

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

5436 S Broadway
Los Angeles, CA 90037-4126

Phone

(323) 234-6261

Fax

(323) 234-6265

NPI assigned

Feb 3, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233619200000",
    "number": "1013155753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E 120TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900592721",
            "telephone_number": "323-779-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5436 S BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900374126",
            "telephone_number": "323-234-6261",
            "fax_number": "323-234-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISCO",
        "first_name": "KIMBERLY",
        "middle_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "195709A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Ricardo Briones, PSY. D.
• Vasni Y Briones
• Glenda Brisbane, M.S.
• Wayne Grover Brisbane, M.D.
• Elise Brisco, OD FAAO
• Tara Michelle Brisco, LCSW
• Krishann Melody Briscoe
• Sierra K. Briscoe, LMFT
• Kelvin Briscoll
• Madeline Claire Brisendine, CD, NCS, LES

• Addiction (Substance Use Disorder) Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.