Active NPI
Annabelle Brigandi
- Rehabilitation Practitioner
- Los Angeles, CA
National Provider Identifier
1093532814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- R1493591222
- Practice address
- 470 E 3Rd St Ste C
Los Angeles, CA 90013-1630 - Phone
- (213) 620-5712
- Fax
- (213) 621-4155
- NPI assigned
- Sep 23, 2024
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | R1493591222 | CA | |
| Rehabilitation Practitioner | 225400000X | R1493591222 | CA | Primary |
Addresses
Primary practice location
470 E 3Rd St Ste C
Los Angeles, CA 90013-1630
Mailing address
470 E 3Rd St Ste C
Los Angeles, CA 90013-1630
Phone (213) 620-5712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1493591222 | CA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1093532814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 E 3RD ST STE C",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900131630",
"telephone_number": "213-620-5712",
"fax_number": "213-621-4155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 E 3RD ST STE C",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900131630",
"telephone_number": "213-620-5712",
"fax_number": "213-621-4155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGANDI",
"first_name": "ANNABELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-23",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": "R1493591222",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": "R1493591222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.