Active NPI
Jonathan Brand a Professional Corporation
- Psychiatry Physician
- Long Beach, CA
National Provider Identifier
1184401861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- JONATHAN BRAND A PROFESSIONAL CORPORATION
- Practice address
- 2600 Redondo Ave Ste 500
Long Beach, CA 90806-2325 - Phone
- (562) 304-1740
- NPI assigned
- Sep 14, 2023
- Last updated
- Mar 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jonathan Brand, MD
- Title
- President
- Phone
- (424) 400-7748
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
2600 Redondo Ave Ste 500
Long Beach, CA 90806-2325
Mailing address
PO Box 4570
Palos Verdes Peninsula, CA 90274-9607
Phone (424) 400-7748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Lynwood, CA
- NPI 1548259401
-
- Physician Assistant
- Lynwood, CA
- NPI 1558648550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709769600000",
"number": "1184401861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4570",
"city": "PALOS VERDES PENINSULA",
"state": "CA",
"postal_code": "902749607",
"telephone_number": "424-400-7748",
"fax_number": "424-400-7749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 REDONDO AVE STE 500",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062325",
"telephone_number": "562-304-1740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONATHAN BRAND A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-14",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A",
"authorized_official_last_name": "BRAND",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "424-400-7748",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.