Individual provider Active NPI

Brianna Jaramillo Baldwin, ACNP

  • Acute Care Nurse Practitioner
  • La Jolla, CA
National Provider Identifier
1033838339
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95021279 Issued in CA
Practice address
7720 Fay Ave
La Jolla, CA 92037-4309
Phone
(858) 454-2700
Fax
(858) 454-2782
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
Yes

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.

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95068766CAMDRegistered Nurse
95021279CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Jolla Cosmetic Laser Clinic Inc CurrentSince Aug 28, 2022 Accepting new patients

Locations

7720 Fay Ave
La Jolla, CA 92037
Phone (858) 454-2700

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95068766 CA
Acute Care Nurse Practitioner 363LA2100X 95021279 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

7720 Fay Ave
La Jolla, CA 92037-4309

Mailing address

7720 Fay Ave
La Jolla, CA 92037-4309
Phone (858) 454-2700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2022.

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1033838339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 FAY AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374309",
            "telephone_number": "858-454-2700",
            "fax_number": "858-454-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 FAY AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374309",
            "telephone_number": "858-454-2700",
            "fax_number": "858-454-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "BRIANNA",
        "middle_name": "JARAMILLO",
        "credential": "ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95068766",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95021279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.