Active NPI
Monica E. Breedlove, M.D.
- Emergency Medicine Physician
- El Segundo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME107822
- 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, 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME107822 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | 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 | Past | 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
- 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.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Jupiter, FL
- NPI 1598748030
-
dba Emergency Room Medical Associates
- Emergency Medicine Physician
- Miami, FL
- NPI 1669419529
-
- Emergency Medicine Physician
- Miami, FL
- NPI 1801530845
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.