Active NPI
Megan Branum, PA
- Physician Assistant
- Orange, CA
National Provider Identifier
1053733170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 51339
- Practice address
- 1100 W Town and Country Rd
Orange, CA 92868-4600 - Phone
- (323) 728-7232
- NPI assigned
- Jan 8, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 51339 | CA | Primary |
Addresses
Primary practice location
1100 W Town and Country Rd
Orange, CA 92868-4600
Mailing address
PO Box 3658
Santa Clara, CA 95055-3658
Phone (650) 515-1623
Other practice location 1
900 Welch Rd
Suite 105
Palo Alto, CA 94304-1805
Phone (678) 361-4445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51339 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578009600000",
"number": "1053733170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3658",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950553658",
"telephone_number": "650-515-1623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 W TOWN AND COUNTRY RD",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684600",
"telephone_number": "323-728-7232"
}
],
"practiceLocations": [
{
"address_1": "900 Welch Rd",
"address_2": "Suite 105",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943041805",
"country_code": "US",
"telephone_number": "678-361-4445",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANUM",
"first_name": "MEGAN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-08",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "51339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.