Individual provider Active NPI

Brian P Esparza, MD

  • Psychiatry Physician
  • Portland, OR
National Provider Identifier
1033227574
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD27462 Issued in OR
Practice address
1135 SE Salmon St Ste 101
Portland, OR 97214-2695
Phone
(503) 573-8388
Fax
(503) 206-8106
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD00045659 WA
Psychiatry Physician 2084P0800X MD27462 OR Primary

Addresses

Primary practice location

1135 SE Salmon St Ste 101
Portland, OR 97214-2695

Mailing address

1135 SE Salmon St Ste 101
Portland, OR 97214-2695
Phone (503) 573-8388

Other practice location 1

10300 SW Eastridge St
Portland, OR 97225-5004
Phone (503) 944-5000

Other identifiers 1

IdentifierTypeStateIssuer
274318MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070705000627 OR Practitioner - Psychiatry 7911007984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Washington School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ubh of Oregon LLCGroup PAC ID 4981772639, 20 clinicians

Practice addresses (Care Compare)

10300 SW Eastridge St
Portland, OR 97225-5004
Phone (503) 944-5000

Merit-based Incentive Payment System (MIPS)

Final score
89.57 of 100Reported as group
Quality
77.16
Improvement activities
40
Cost
90.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00045659WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ubh of Oregon, LLC CurrentSince Jan 24, 2011 Accepting new patients

Locations

10300 SW Eastridge St
Portland, OR 97225
Phone (503) 944-5000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1033227574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 SE SALMON ST STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142695",
            "telephone_number": "503-573-8388",
            "fax_number": "503-206-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 SE SALMON ST STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142695",
            "telephone_number": "503-573-8388",
            "fax_number": "503-206-8106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10300 SW Eastridge St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972255004",
            "country_code": "US",
            "telephone_number": "503-944-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPARZA",
        "first_name": "BRIAN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00045659",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD27462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274318",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.