Active NPI
Brianna Nichole Grant
- Physician Assistant
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1093332090
- Practice address
- 210 N Tustin Ave
Santa Ana, CA 92705-3807 - Phone
- (888) 959-5912
- NPI assigned
- Jun 25, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 1093332090 | FL | Primary |
Addresses
Primary practice location
210 N Tustin Ave
Santa Ana, CA 92705-3807
Mailing address
4675 Linton Blvd Ste 102
Delray Beach, FL 33445-6615
Phone (954) 839-5923
Other practice location 1
520 SW 63rd Ter
Margate, FL 33068-1738
Phone (954) 839-5923
Other practice location 2
4675 Linton Blvd Ste 102
Delray Beach, FL 33445-6615
Phone (561) 501-7445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1309 N Flagler Dr
Good Samaritan Medical Center
West Palm Beach, FL 33401-3406
Phone (561) 655-5511
4675 Linton Blvd
Suite 102
Delray Beach, FL 33445-6615
Phone (561) 501-7445
5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 498-4440
Hospital & facility affiliations
- Delray Medical Center
- Boca Raton Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61260 | CA | MD | General Practice Dentistry |
| 1093332090 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurosurgical Consultants of South Florida, LLC | Current | Accepting new patients |
Locations
800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100
4675 Linton Blvd
Ste 102
Delray Beach, FL 33445
Phone (561) 496-2525
5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166
3365 Burns Rd
Ste 208
Palm Beach Gardens, FL 33410
Phone (443) 782-7179
3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411
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 and National Provider Directory roles.
-
- Neurological Surgery Physician
- Delray Beach, FL
- NPI 1013975291
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
-
- General Acute Care Hospital
- Delray Beach, FL
- NPI 1326078288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1093332090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4675 LINTON BLVD STE 102",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334456615",
"telephone_number": "954-839-5923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N TUSTIN AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053807",
"telephone_number": "888-959-5912"
}
],
"practiceLocations": [
{
"address_1": "520 SW 63rd Ter",
"address_purpose": "LOCATION",
"city": "Margate",
"state": "FL",
"postal_code": "330681738",
"country_code": "US",
"telephone_number": "954-839-5923",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4675 Linton Blvd Ste 102",
"address_purpose": "LOCATION",
"city": "Delray Beach",
"state": "FL",
"postal_code": "334456615",
"country_code": "US",
"telephone_number": "561-501-7445",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANT",
"first_name": "BRIANNA",
"middle_name": "NICHOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-25",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "1093332090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.