Active NPI
Geoffrey Van Den Brande, N.P.
- Adult Health Nurse Practitioner
- Burlingame, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 20839
- Practice address
- 1501 Trousdale Dr
Burlingame, CA 94010-4506 - Phone
- (415) 715-4618
- NPI assigned
- Apr 24, 2012
- Last updated
- Jun 18, 2019
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 20839 | AZ | Primary |
Addresses
Primary practice location
1501 Trousdale Dr
Burlingame, CA 94010-4506
Mailing address
1201 37TH Ave
San Francisco, CA 94122-1332
Phone (619) 750-2811
Other practice location 1
190 W Napa St
Sonoma, CA 95476-6625
Phone (707) 935-7504
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.74 of 100
- Quality
- 80.2
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20839 | AZ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Hospitals | Current | Accepting new patients | |
| Sutter Bay Hospitals | Current | Accepting new patients | |
| Sutter Bay Hospitals | Current | Accepting new patients | |
| By the Bay Health | Past | Accepting new patients |
Locations
1501 Trousdale Dr
Burlingame, CA 94010
Phone (650) 696-3520
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.
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1740413798
-
dba Mills-Peninsula Medical Center
- General Acute Care Hospital
- Burlingame, CA
- NPI 1043670334
-
dba Alta Bates Summit Medical Center - Summit Campus
- Rehabilitation Hospital Unit
- Oakland, CA
- NPI 1194171371
-
- Community Based Hospice Care Agency
- San Francisco, CA
- NPI 1215987532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1154689545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 37TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941221332",
"telephone_number": "619-750-2811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 TROUSDALE DR",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940104506",
"telephone_number": "415-715-4618"
}
],
"practiceLocations": [
{
"address_1": "190 W Napa St",
"address_purpose": "LOCATION",
"city": "Sonoma",
"state": "CA",
"postal_code": "954766625",
"country_code": "US",
"telephone_number": "707-935-7504",
"fax_number": "707-935-7504",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN DEN BRANDE",
"first_name": "GEOFFREY",
"name_prefix": "Mr.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-24",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "20839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlingame, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.
- 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.