Organization Active NPI

Brian Belnap DO, a Medical Corporation

  • Pain Clinic/Center
  • Encinitas, CA
National Provider Identifier
1033508718
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
20A10439 Issued in CA
Legal business name
BRIAN BELNAP DO, A MEDICAL CORPORATION
Practice address
4405 Manchester Ave Ste 101
Encinitas, CA 92024-4940
Phone
(760) 650-4040
Fax
(760) 650-4057
NPI assigned
Jan 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Dr. Brian Belnap, D.O.NPI 1457360448
Title
Ceo
Phone
(760) 650-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 20A10439 CA Primary

Addresses

Primary practice location

4405 Manchester Ave Ste 101
Encinitas, CA 92024-4940

Mailing address

4405 Manchester Ave Ste 101
Encinitas, CA 92024-4940
Phone (760) 650-4040

Other names 1

  • West Coast Pain Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150330000380 CA Part B Supplier - Clinic/Group Practice 4183941230 Receives reassigned benefits from 2 practitioners
Practice locations: Encinitas, CA

National Provider Directory

National Provider Directory

Locations

4405 Manchester Ave
Ste 102
Encinitas, CA 92024

4401 Manchester Ave
Ste 103
Encinitas, CA 92024
Phone (760) 632-7246

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1033508718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 MANCHESTER AVE STE 101",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244940",
            "telephone_number": "760-650-4040",
            "fax_number": "760-650-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 MANCHESTER AVE STE 101",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244940",
            "telephone_number": "760-650-4040",
            "fax_number": "760-650-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN BELNAP DO, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-17",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "BELNAP",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-650-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CA",
            "license": "20A10439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Coast Pain Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.