Individual provider Active NPI

Brittany Elizabeth Powell

  • Retina Specialist (Ophthalmology) Physician
  • San Diego, CA
National Provider Identifier
1033485065
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
292384-01 Issued in NY
Practice address
34800 Bob Wilson Dr
San Diego, CA 92134-5285
Phone
(619) 632-6700
NPI assigned
Mar 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X C192138 CA
Retina Specialist (Ophthalmology) Physician 207WX0107X 292384-01 NY Primary

Addresses

Primary practice location

34800 Bob Wilson Dr
San Diego, CA 92134-5285

Mailing address

34800 Bob Wilson Dr
San Diego, CA 92134-1098

Other practice location 1

3621 Vista Way
Oceanside, CA 92056-4522
Phone (760) 607-3460

Other names 1

  • Dr. Brittany Elizabeth Baffer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180808000674 NY Practitioner - Ophthalmology 0345598330
I20241121003863 CA Practitioner - Ophthalmology 0345598330 Reassigns benefits to 1 organization
I20241209002137 IN Practitioner - General Practice 0345598330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
292384-01NYMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Eye Specialists Medical Group, Inc Current Accepting new patients
Azul Vision Inc. Retina Specialist CurrentSince Dec 5, 2024 Accepting new patients
Orvos Healthcare LLC Retina Specialist Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc Past Accepting new patients
Southcoast Physicians Group, Inc. Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients

Locations

14726 Ramona Ave
Ste 203
Chino, CA 91710
Phone (626) 305-9100

3621 Vista Way
Oceanside, CA 92056
Phone (760) 607-3460

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: brittany.powell.p1@direct.atlantiseyecare.nextgenshare.com
  • Direct secure messaging: bpowell@californiaeye.intellechartdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1033485065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921341098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921345285",
            "telephone_number": "619-632-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3621 Vista Way",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920564522",
            "country_code": "US",
            "telephone_number": "760-607-3460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "BRITTANY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-23",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "C192138",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "292384-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "BAFFER",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.