Ivan L Breed, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A31294 Issued in CA

Practice address

605 E Badillo St
Suite 110
Covina, CA 91723-2846

Phone

(626) 917-5999

Fax

(626) 917-5999

NPI assigned

Jul 15, 2006

Last updated

Nov 20, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ivan L Breed MD Inc

  • Family Medicine Physician
  • Covina, CA
  • NPI 1669478228
  Authorized official Same address or phone
• California Care Level Management Direct Medical Group, Inc

  • General Practice Physician
  • Woodland Hills, CA
  • NPI 1659357341
  NPD
• Housecall Doctors Medical Group Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Long Beach, CA
  • NPI 1033164017
  NPD

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1073539474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4609",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917234609",
            "telephone_number": "626-917-5999",
            "fax_number": "626-917-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E BADILLO ST",
            "address_2": "SUITE 110",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232846",
            "telephone_number": "626-917-5999",
            "fax_number": "626-917-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREED",
        "first_name": "IVAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A31294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Brandt
• Erica Bravo
• Gurkirat Kaur Bravo, RPT
• Amanda Breceda, ASW
• Ariel Breceda
• Jennifer Brennan
• Kelsey Guadalupe Brickey
• Bridges Individual & Family Counseling, Inc.
• Tracy Bridges, RN
• Jasmine Anise Brinson

• Family Medicine Physician in Covina, CA
• Providers in Covina, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.