Individual provider Active NPI

Brianne Enegren, PA-C

  • Physician Assistant
  • Ventura, CA
National Provider Identifier
1093017279
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA21229 Issued in CA
Practice address
5725 Ralston St Ste 101
Ventura, CA 93003-6053
Phone
(805) 658-2273
NPI assigned
Nov 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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 PA21229 CA Primary

Addresses

Primary practice location

5725 Ralston St Ste 101
Ventura, CA 93003-6053

Mailing address

13775 Swift Run St
Moorpark, CA 93021-1282
Phone (805) 558-8585

Other practice location 1

425 Haaland Dr Ste 104
Thousand Oaks, CA 91361-5230
Phone (805) 494-1948

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
I20110921000127 CA Practitioner - Physician Assistant 1052582103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ventura Urgent Care Center Medical CorpGroup PAC ID 2365492089, 5 clinicians

Practice addresses (Care Compare)

5725 Ralston St
Suite 101
Ventura, CA 93003-6053
Phone (805) 658-2273

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ventura Urgent Care Center Medical Corp CurrentSince Feb 10, 2026 Accepting new patients
Rosaasen Physical Medicine Inc. Past Accepting new patients

Locations

5725 Ralston St
Ste 101
Ventura, CA 93003
Phone (805) 658-2273

Interoperability endpoints

  • Direct secure messaging: brianne.enegren.1@29357.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1093017279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13775 SWIFT RUN ST",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211282",
            "telephone_number": "805-558-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 RALSTON ST STE 101",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036053",
            "telephone_number": "805-658-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Haaland Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913615230",
            "country_code": "US",
            "telephone_number": "805-494-1948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENEGREN",
        "first_name": "BRIANNE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.