Individual provider Active NPI

Manuel Robert Brasley, MSN, FNP-C

  • Family Nurse Practitioner
  • National City, CA
National Provider Identifier
1083127088
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007656 Issued in CA
Practice address
1615 Sweetwater Rd Ste B
National City, CA 91950-7665
Phone
(619) 889-0143
NPI assigned
Nov 13, 2017
Last updated
Aug 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95007656 CA Primary
Critical Care Medicine Registered Nurse 163WC0200X 620820 CA

Addresses

Primary practice location

1615 Sweetwater Rd Ste B
National City, CA 91950-7665

Mailing address

4525 Northern Moon Way
San Diego, CA 92154-4853
Phone (619) 889-0143

Other practice location 1

9434 Medical Center Dr Ste 3-220
LA Jolla, CA 92037-1337
Phone (858) 657-8330

Other practice location 2

7801 Mission Center Ct Ste 250
San Diego, CA 92108
Phone (619) 738-5566

Other practice location 3

3401 W Sunflower Ave Ste 250
Santa Ana, CA 92704-6945
Phone (888) 789-9585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180129002245 CA Practitioner - Nurse Practitioner 3678833340 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Campus Hospitalist Medical Group IncGroup PAC ID 7113361593, 27 clinicians

Practice addresses (Care Compare)

6655 Alvarado Rd
San Diego, CA 92120-5208
Phone (310) 698-5452

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
620820CAMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
East Campus Hospitalist Medical Group, Inc. CurrentSince Dec 31, 2023 Accepting new patients
GN Medical Associates, Inc. Family CurrentSince Sep 1, 2019 Accepting new patients
Careconnectmd Ca PC CurrentSince Feb 1, 2021 Accepting new patients
Pouya Afshar MD Inc CurrentSince Jan 2, 2018 Accepting new patients
Brama Health Corp Family CurrentSince Dec 26, 2021 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

3111 Camino del Rio N
Ste 625
San Diego, CA 92108
Phone (619) 738-5566

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

1750 Montgomery St
Fl 1
San Francisco, CA 94111
Phone (714) 619-8777

3401 W Sunflower Ave
#250
Santa Ana, CA 92704
Phone (415) 848-8258

3401 W Sunflower Ave
Ste 250
Santa Ana, CA 92704
Phone (714) 619-8777

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1083127088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 NORTHERN MOON WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921544853",
            "telephone_number": "619-889-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 SWEETWATER RD STE B",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919507665",
            "telephone_number": "619-889-0143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9434 Medical Center Dr Ste 3-220",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371337",
            "country_code": "US",
            "telephone_number": "858-657-8330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7801 Mission Center Ct Ste 250",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92108",
            "country_code": "US",
            "telephone_number": "619-738-5566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 W Sunflower Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927046945",
            "country_code": "US",
            "telephone_number": "888-789-9585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRASLEY",
        "first_name": "MANUEL",
        "middle_name": "ROBERT",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-13",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007656",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "620820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.