Individual provider Active NPI

Brandi Elyse Ford, FNP-C

  • Family Nurse Practitioner
  • Simi Valley, CA
National Provider Identifier
1134836133
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95023146 Issued in CA
Practice address
158 Macaw LN
Simi Valley, CA 93065-3152
Phone
(805) 584-1930
NPI assigned
Oct 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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 95023146 CA Primary

Addresses

Primary practice location

158 Macaw LN
Simi Valley, CA 93065-3152

Mailing address

6818 Simmons Way
Moorpark, CA 93021-5062
Phone (818) 807-9690

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
I20230130000763 CA Practitioner - Nurse Practitioner 1759752777 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashim Arora a Medical CorporationGroup PAC ID 5799682431, 3 clinicians
Carbon Health Medical Group of California PCGroup PAC ID 9032340047, 335 clinicians

Practice addresses (Care Compare)

158 Macaw LN
Simi Valley, CA 93065-3152
Phone (805) 584-1930

2944 Tapo Canyon Rd
Suite a
Simi Valley, CA 93063-0903
Phone (805) 306-5990

620 E Janss Rd
Thousand Oaks, CA 91360-5113
Phone (805) 495-6866

806 New Los Angeles Ave
Moorpark, CA 93021-3608
Phone (805) 334-8650

Hospital & facility affiliations

  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Los Robles Emergency Physicians Medical Group CurrentSince Jan 1, 2023 Accepting new patients
Mark H Mazur MD & Barry Statner MD a Professional Corporation CurrentSince Aug 9, 2023 Accepting new patients
Ashim Arora a Medical Corporation CurrentSince Jun 1, 2023 Accepting new patients
Carbon Health Primary Care of California PC PastSince Apr 5, 2021 Accepting new patients

Locations

2360 E Bidwell St
Ste 107
Folsom, CA 95630
Phone (916) 220-2951

4980 Barranca Pkwy
Ste 195
Irvine, CA 92604
Phone (949) 398-5280

24640 Jefferson Ave
Ste 208
Murrieta, CA 92562
Phone (951) 395-5457

301 S Fair Oaks Ave
Ste 304
Pasadena, CA 91105
Phone (626) 960-2711

15706 Pomerado Rd
Ste S202
Poway, CA 92064

158 Macaw Ln
Simi Valley, CA 93065
Phone (805) 501-7363

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

2220 Lynn Rd
Ste 301
Thousand Oaks, CA 91360
Phone (805) 495-1073

130 La Casa Via
Ste 108
Walnut Creek, CA 94598

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1134836133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6818 SIMMONS WAY",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930215062",
            "telephone_number": "818-807-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 MACAW LN",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653152",
            "telephone_number": "805-584-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "BRANDI",
        "middle_name": "ELYSE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.