Active NPI
Brian Kent Low, MD
- General Practice Physician
- Carson, CA
National Provider Identifier
1174654586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- G57531
- Practice address
- 20401 South Avalon Blvd
Suite C
Carson, CA 90746 - Phone
- (310) 632-5795
- Fax
- (310) 632-5842
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | G57531 | CA | |
| General Practice Physician | 208D00000X | G57531 | CA | Primary |
Addresses
Primary practice location
20401 South Avalon Blvd
Suite C
Carson, CA 90746
Mailing address
20401 South Avalon Blvd
Suite C
Carson, CA 90746
Phone (310) 632-5795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G57531 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cypress Urgent Care, Inc | Past | Accepting new patients | |
| Portola Medical Services PC | Past | Accepting new patients | |
| Optima Industrial Medical | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Intermediate Emergency Medical Technician
- Carson, CA
- NPI 1902127079
-
- Urgent Care Clinic/Center
- Cypress, CA
- NPI 1881836989
-
- Urgent Care Clinic/Center
- Lake Forest, CA
- NPI 1871962076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324425600000",
"number": "1174654586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20401 SOUTH AVALON BLVD",
"address_2": "SUITE C",
"city": "CARSON",
"state": "CA",
"postal_code": "90746",
"telephone_number": "310-632-5795",
"fax_number": "310-632-5842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20401 SOUTH AVALON BLVD",
"address_2": "SUITE C",
"city": "CARSON",
"state": "CA",
"postal_code": "90746",
"telephone_number": "310-632-5795",
"fax_number": "310-632-5842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOW",
"first_name": "BRIAN",
"middle_name": "KENT",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2011-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "G57531",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "G57531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.