Active NPI
John Edrik Michael Brillante, NP - C
- Family Nurse Practitioner
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95017280
- Practice address
- 450 N Brand Blvd Ste 600
Glendale, CA 91203-2349 - Phone
- (818) 369-1170
- NPI assigned
- May 28, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95017280 | CA | Primary |
Addresses
Primary practice location
450 N Brand Blvd Ste 600
Glendale, CA 91203-2349
Mailing address
450 N Brand Blvd Ste 600
Glendale, CA 91203-2349
Phone (818) 369-6848
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
450 N Brand Blvd
Suite 600
Glendale, CA 91203-2349
Phone (818) 369-1170
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Medical Corporation | Current | Accepting new patients | |
| Allied of California Medical Group | Current | Accepting new patients | |
| Lev Grinman MD 3 Professional Corporation | Current | Accepting new patients | |
| Me Healthcare Medical Corporation | Current | Accepting new patients | |
| A&E Medical Group-a Professional Nursing Corporation | Family | Current | Accepting new patients |
| Paramount Healthcare - a Professional Nursing Corporation | Past | Accepting new patients |
Locations
1631 Pomona Rd
Ste 206
Corona, CA 92878
Phone (323) 763-5368
600 N Brand Blvd
Ste 612
Glendale, CA 91203
Phone (818) 239-9293
450 N Brand Blvd
Ste 600
Glendale, CA 91203
Phone (818) 369-1170
225 W Hospitality Ln
Ste 308
San Bernardino, CA 92408
Phone (840) 237-2700
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Glendale, CA
- NPI 1033975065
-
- Family Nurse Practitioner
- Glendale, CA
- NPI 1306424502
-
- Internal Medicine Physician
- Corona, CA
- NPI 1053296301
-
- Family Medicine Physician
- Glendale, CA
- NPI 1518754829
-
- Family Medicine Physician
- San Bernardino, CA
- NPI 1659172138
-
- Adult Health Nurse Practitioner
- Glendale, CA
- NPI 1588542427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1134795339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 N BRAND BLVD STE 600",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912032349",
"telephone_number": "818-369-6848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 N BRAND BLVD STE 600",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912032349",
"telephone_number": "818-369-1170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRILLANTE",
"first_name": "JOHN EDRIK MICHAEL",
"credential": "NP - C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-28",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95017280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.