Active NPI
Raymond Devon Brockett
- Day Training/Habilitation Specialist
- Brentwood, CA
National Provider Identifier
1053288498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 355 Orchard Dr
Brentwood, CA 94513-1551 - Phone
- (510) 904-7175
- Fax
- (510) 904-7175
- NPI assigned
- Oct 21, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | CA | Primary |
Addresses
Primary practice location
355 Orchard Dr
Brentwood, CA 94513-1551
Mailing address
355 Orchard Dr
Brentwood, CA 94513-1551
Phone (510) 904-7175
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1053288498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 ORCHARD DR",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945131551",
"telephone_number": "510-904-7175",
"fax_number": "510-904-7175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 ORCHARD DR",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945131551",
"telephone_number": "510-904-7175",
"fax_number": "510-904-7175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCKETT",
"first_name": "RAYMOND",
"middle_name": "DEVON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-21",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.