Active NPI
Karen Shields Brown, M.D.
- Psychiatry Physician
- San Diego, CA
National Provider Identifier
1033133210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C55045
- Practice address
- 3570 Camino del Rio N.
Ste. 102
San Diego, CA 92108 - Phone
- (858) 999-7482
- Fax
- (619) 584-5644
- NPI assigned
- Jul 27, 2006
- Last updated
- Mar 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | M0362 | TX | |
| Psychiatry Physician | 2084P0800X | C55045 | CA | Primary |
Addresses
Primary practice location
3570 Camino del Rio N.
Ste. 102
San Diego, CA 92108
Mailing address
3570 Camino del Rio N.
Ste. 102
San Diego, CA 92108
Phone (858) 999-7482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C55045 | CA | MD | Psychiatry Physician |
| M0362 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330992000000",
"number": "1033133210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3570 CAMINO DEL RIO N.",
"address_2": "STE. 102",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92108",
"telephone_number": "858-999-7482",
"fax_number": "619-584-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3570 CAMINO DEL RIO N.",
"address_2": "STE. 102",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92108",
"telephone_number": "858-999-7482",
"fax_number": "619-584-5644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KAREN",
"middle_name": "SHIELDS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2012-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "M0362",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C55045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.