Brandi Blakes

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

0000000 Issued in CA

Practice address

2501 W Burbank Blvd
Burbank, CA 91505-2347

Phone

(818) 856-9535

NPI assigned

Dec 2, 2021

Last updated

Dec 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Coast Wound and Skin Care IncGroup PAC ID 7315212834, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• West Coast Wound and Skin Care Inc

  • Surgery Physician
  • Burbank, CA
  • NPI 1437675980
  Medicare reassignment Care Compare group NPD
• Compass Palliative Care, Inc

  • Hospice and Palliative Medicine (Surgery) Physician
  • Burbank, CA
  • NPI 1124693924
  NPD (past)
• Regents Univ of Calif Los Angeles

  dba Resnick Neuropsychiatric Hospital at UCLA

  • Psychiatric Hospital
  • Los Angeles, CA
  • NPI 1952308363
  NPD (past)

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1174281539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3074 RYAN AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932747765",
            "telephone_number": "832-286-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W BURBANK BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052347",
            "telephone_number": "818-856-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKES",
        "first_name": "BRANDI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "0000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Bishop, LMFT
• Joyce Bitar
• Taija Bjorgo
• Stevie Black, DC
• Shaundiin Blackgoat
• Yareni Blanco Aguilar
• Michelle Blanco
• Blanka Orloff MD, Inc
• Vivian Blas, MFT 17709MFT
• Blendrx Inc (Blendrx)

• Gerontology Nurse Practitioner in Burbank, CA
• Providers in Burbank, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.

Verify at the official NPI Registry.