Individual provider Active NPI

Brian Kent Low, MD

  • General Practice Physician
  • Carson, CA
National Provider Identifier
1174654586
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G57531 Issued in CA
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

Updated by the provider on Dec 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
G57531CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Urgent Care, Inc PastSince Oct 1, 2009 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.

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.

Verify at the official NPI Registry.