Active NPI
Brenda Renae Robinson, P.A.-C
- Physician Assistant
- Temecula, CA
National Provider Identifier
1093926982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA16834
- Practice address
- 28780 Single Oak Dr
Suite 160
Temecula, CA 92590-3625 - Phone
- (951) 676-4193
- Fax
- (951) 719-1469
- NPI assigned
- May 24, 2007
- Last updated
- Mar 28, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA16834 | CA | Primary |
Addresses
Primary practice location
28780 Single Oak Dr
Suite 160
Temecula, CA 92590-3625
Mailing address
25470 Medical Center Dr
Ste 201
Murrieta, CA 92562-4901
Phone (951) 698-4433
Other names 1
- Ms. Brenda Renae Holtzen
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16834 | CA | MD | Acupuncturist |
| PA16834 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ernst Schwarz MD a Professional Medical Corporation | Past | Accepting new patients | |
| Yucca Family Medical Care, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DCGCDA
Organizations & group practices 3
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.
-
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- Murrieta, CA
- NPI 1932434206
-
- Cardiovascular Disease Physician
- Beverly Hills, CA
- NPI 1174967137
-
- Family Medicine Physician
- Yucca Valley, CA
- NPI 1386820702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553731200000",
"number": "1093926982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25470 MEDICAL CENTER DR",
"address_2": "STE 201",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925624901",
"telephone_number": "951-698-4433",
"fax_number": "951-461-8790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28780 SINGLE OAK DR",
"address_2": "SUITE 160",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925903625",
"telephone_number": "951-676-4193",
"fax_number": "951-719-1469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "BRENDA",
"middle_name": "RENAE",
"name_prefix": "Mrs.",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2019-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA16834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRENDA",
"last_name": "HOLTZEN",
"middle_name": "RENAE",
"prefix": "MS.",
"credential": "P.A.-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.