Individual provider Active NPI

Monica E. Breedlove, M.D.

  • Emergency Medicine Physician
  • El Segundo, CA
National Provider Identifier
1134446636
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME107822 Issued in FL
Practice address
390 N Pacific Coast Hwy Ste 3000
El Segundo, CA 90245-4486
Phone
(818) 287-7409
NPI assigned
Apr 23, 2010
Last updated
Jul 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME107822 FL Primary

Addresses

Primary practice location

390 N Pacific Coast Hwy Ste 3000
El Segundo, CA 90245-4486

Mailing address

P.O. Box 848508
3004
Pembroke Pines, FL 33084-0508
Phone (954) 838-2371

Other practice location 1

11750 SW 40th Street
3004
Miami, FL 33175-3530
Phone (305) 223-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100925000325 FL Practitioner - PsychiatryPractitioner - Emergency Medicine 4183740236 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME107822FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Sheridan Emergency Physician Services Inc Emergency Medicine Current Accepting new patients
Marshall Amaya & Anton P L Emergency Medicine Past Accepting new patients
Tigertail Emergency Physicians, LLC Emergency Medicine PastSince Nov 5, 2023 Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

11750 SW 40th St
#3004
Miami, FL 33175

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

Interoperability endpoints

  • Direct secure messaging: wghmbreed@yourcarecommunity.org

Organizations & group practices 4

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": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1134446636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 848508",
            "address_2": "3004",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330840508",
            "telephone_number": "954-838-2371",
            "fax_number": "954-851-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 N PACIFIC COAST HWY STE 3000",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454486",
            "telephone_number": "818-287-7409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11750 SW 40th Street",
            "address_2": "3004",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331753530",
            "country_code": "US",
            "telephone_number": "305-223-3000",
            "fax_number": "305-227-5556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREEDLOVE",
        "first_name": "MONICA",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME107822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

Verify at the official NPI Registry.