Brenda Ann Marin, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

520619 Issued in CA

Practice address

18031 US Highway 18 Ste C
Apple Valley, CA 92307-2152

Phone

(760) 810-7631

NPI assigned

May 30, 2018

Last updated

May 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1023509759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18031 US HIGHWAY 18 STE C",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072152",
            "telephone_number": "760-810-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18031 US HIGHWAY 18 STE C",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072152",
            "telephone_number": "760-810-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "BRENDA",
        "middle_name": "ANN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "520619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romella Dizon Mansat
• Jessica Margaret Marfia, MS,OTR/L
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• Marifi Maghari Pipkin,DDS,Inc. (Pipkin Dental)
• Marilou R. Sobrera, M.D., Inc.
• Mark Patrick Louron MD Inc (Mark P. Lauron, M.D., Inc.)
• Sarah Rose Marler
• Elisabeth Marquez, PHARMD
• Nicholas Marsh
• Cathlene Martin

• Nurse Practitioner in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.