Individual provider Active NPI

John Edrik Michael Brillante, NP - C

  • Family Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1134795339
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95017280 Issued in CA
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

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211015001914 CA Practitioner - Nurse Practitioner 5698173094 Reassigns benefits to 5 organizations

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
Lev Grinman MD 3 Professional CorporationGroup PAC ID 6608316856, 5 clinicians

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

OrganizationSpecialtyStatusNew patients
Vital Medical Corporation CurrentSince Jul 1, 2025 Accepting new patients
Allied of California Medical Group CurrentSince Oct 1, 2025 Accepting new patients
Lev Grinman MD 3 Professional Corporation CurrentSince Sep 9, 2024 Accepting new patients
Me Healthcare Medical Corporation CurrentSince Apr 27, 2025 Accepting new patients
A&E Medical Group-a Professional Nursing Corporation Family CurrentSince Sep 7, 2021 Accepting new patients
Paramount Healthcare - a Professional Nursing Corporation PastSince Sep 3, 2025 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.

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

Verify at the official NPI Registry.