Individual provider Active NPI

Brenda Renae Robinson, P.A.-C

  • Physician Assistant
  • Temecula, CA
National Provider Identifier
1093926982
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16834 Issued in CA
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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 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 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
I20040831001247 CA Practitioner - Physician Assistant 4789659996 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16834CAMDAcupuncturist
PA16834CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ernst Schwarz MD a Professional Medical Corporation Past Accepting new patients
Yucca Family Medical Care, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.