Individual provider Active NPI

Brianna Renee Lampson, PA-C

  • Physician Assistant
  • San Diego, CA
National Provider Identifier
1083453484
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA64460 Issued in CA
Practice address
2810 Camino del Rio S Ste 106
San Diego, CA 92108-3819
Phone
(619) 756-6424
NPI assigned
May 23, 2024
Last updated
May 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA64460 CA Primary

Addresses

Primary practice location

2810 Camino del Rio S Ste 106
San Diego, CA 92108-3819

Mailing address

2135 E Valley Pkwy Unit 7
Escondido, CA 92027-2746
Phone (909) 912-4835

Other names 1

  • Brianna Renee Page Former name

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
I20251103003178 CA Practitioner - Physician Assistant 4789174301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omar Osman Practice, LLCGroup PAC ID 4385014042, 45 clinicians

Practice addresses (Care Compare)

3140 El Camino Real
Carlsbad, CA 92008-2108
Phone (760) 720-9898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
64460CAMDGeneral Practice Dentistry
PA64460CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Omar Osman Practice, LLC CurrentSince Aug 2, 2025 Accepting new patients

Locations

3140 El Camino Real
Carlsbad, CA 92008
Phone (760) 720-9898

5602 University Ave
San Diego, CA 92105
Phone (619) 583-1993

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1083453484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 E VALLEY PKWY UNIT 7",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920272746",
            "telephone_number": "909-912-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 CAMINO DEL RIO S STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083819",
            "telephone_number": "619-756-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMPSON",
        "first_name": "BRIANNA",
        "middle_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA64460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "PAGE",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.