Active NPI
Brittany Lynn Nolan, PA-C
- Physician Assistant
- Marina del Rey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA53757
- Practice address
- 4650 Lincoln Blvd
Marina del Rey, CA 90292-6306 - Phone
- (310) 823-8911
- NPI assigned
- May 2, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA53757 | CA | Primary |
Addresses
Primary practice location
4650 Lincoln Blvd
Marina del Rey, CA 90292-6306
Mailing address
4650 Lincoln Blvd
Marina del Rey, CA 90292-6306
Phone (310) 823-8911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AZ, PA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 S Cameron St
Harrisburg, PA 17104-2547
Phone (717) 408-1353
1201 S 7TH Ave
Phoenix, AZ 85007-4075
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53757 | CA | MD | Periodontist |
| PA53757 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Connectionsaz, LLC | Current | Accepting new patients | |
| California Em-I Medical Services, a Medical Corporation | Physician Assistant | Past | Accepting new patients |
| Petrel Emergency Physicians, a Medical Corporation | Past | Accepting new patients |
Locations
1201 S 7th Ave
Ste 150A
Phoenix, AZ 85007
1201 S 7th Ave
Ste 150
Phoenix, AZ 85007
Phone (602) 253-5100
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
Interoperability endpoints
- brittany.nolan@mmconnections.contexture.medalliesmail.com
- bnolan220988@direct.cshs.org
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1083840953
-
- Adult Mental Health Clinic/Center
- Harrisburg, PA
- NPI 1952141889
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
-
- Emergency Medicine Physician
- Santa Ana, CA
- NPI 1548667843
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kirkland, WA
- NPI 1114607140
-
- Emergency Medicine Physician
- Glendora, CA
- NPI 1043684764
-
- Emergency Medicine Physician
- Santa Cruz, CA
- NPI 1811274483
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1972985547
-
- Emergency Medicine Physician
- Marina del Rey, CA
- NPI 1801202692
Physician Assistant
-
- Emergency Medicine Physician
- Marina del Rey, CA
- NPI 1154734663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1174978779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4650 LINCOLN BLVD",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926306",
"telephone_number": "310-823-8911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 LINCOLN BLVD",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926306",
"telephone_number": "310-823-8911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "BRITTANY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-02",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA53757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.