Active NPI
Manuel Robert Brasley, MSN, FNP-C
- Family Nurse Practitioner
- National City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95007656
- 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, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 620820 | CA | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Campus Hospitalist Medical Group, Inc. | Current | Accepting new patients | |
| GN Medical Associates, Inc. | Family | Current | Accepting new patients |
| Careconnectmd Ca PC | Current | Accepting new patients | |
| Pouya Afshar MD Inc | Current | Accepting new patients | |
| Brama Health Corp | Family | Current | 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.
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1184490385
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1366063125
-
dba Gerinet Medical Associates
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1275576522
-
- Family Nurse Practitioner
- San Diego, CA
- NPI 1821758814
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1215977723
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UCSD Medical Center
- General Acute Care Hospital
- San Diego, CA
- NPI 1184722779
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.