Individual provider Active NPI

Brandon Endo

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1144648841
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
143004 Issued in CA
Practice address
924 Westwood Blvd Ste 300
Los Angeles, CA 90024
Phone
(310) 794-0585
NPI assigned
Apr 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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 143004 CA Primary

Addresses

Primary practice location

924 Westwood Blvd Ste 300
Los Angeles, CA 90024

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

757 Westwood Plz
Los Angeles, CA 90095-8358
Phone (310) 825-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180521000697 CA Practitioner - Emergency Medicine 4688939705 Reassigns benefits to 8 organizations
I20200623000117 TX Practitioner - Emergency Medicine 4688939705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians of Orange CountyGroup PAC ID 9436692100, 63 clinicians

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 764-4624

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
93.25
Promoting interoperability
100
Improvement activities
40
Cost
79.74

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.39
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
143004CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Carlos Apache Healthcare Corporation CurrentSince Apr 15, 2020 Accepting new patients
Montclair Emergency Medical Associates Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
Emergency Physicians of Orange County Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 4, 2019 Accepting new patients
Golden State Emergency Physicians Inc Emergency Medicine CurrentSince Aug 15, 2018 Accepting new patients
Regents of the Univ of Ca Emer Med Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
San Carlos Apache Healthcare Corporation Current Accepting new patients
Victory Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Aug 15, 2018 Accepting new patients
Huntington Park Emergency Physicians, Inc Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 4, 2019 Accepting new patients
San Dimas Emergency Medical Associates Inc. Emergency Medicine CurrentSince Feb 1, 2020 Accepting new patients
UCLA Medical Group Emergency Medicine Past Accepting new patients

Locations

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

16200 Sand Canyon Ave
Irvine, CA 92618
Phone (949) 753-2000

757 Westwood Plz
Ste 1517
Los Angeles, CA 90095
Phone (310) 794-0599

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

File 55675
Los Angeles, CA 90074

924 Westwood Blvd
Ste 300
Los Angeles, CA 90024
Phone (310) 794-0585

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417

1350 W Covina Blvd
San Dimas, CA 91773
Phone (909) 394-2745

1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695

2623 E Slauson Ave
Walnut Park, CA 90255
Phone (323) 277-5855

4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560

Interoperability endpoints

  • Direct secure messaging: bendo16615@direct.uclahealth.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1144648841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 WESTWOOD BLVD STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90024",
            "telephone_number": "310-794-0585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "757 Westwood Plz",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900958358",
            "country_code": "US",
            "telephone_number": "310-825-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENDO",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "143004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.