Brandon Richland MD Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BRANDON RICHLAND MD INC.

Practice address

9900 Talbert Ave # 101
Fountain Valley, CA 92708-5153

Phone

(714) 241-0646

NPI assigned

Feb 18, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Richland, MDNPI 1659715381

Title

Ceo

Phone

(714) 241-0646

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Kikuo Richland, MD

  • Plastic and Reconstructive Surgery Physician
  • Fountain Valley, CA
  • NPI 1659715381
  Medicare reassignment NPD Authorized official
• Stephanie Tuason Ehret

  • Registered Nurse First Assistant
  • Fountain Valley, CA
  • NPI 1689171159
  NPD (past)
• Eugene D. Elliott, M.D.

  • Specialist
  • Fountain Valley, CA
  • NPI 1205850336
  NPD (past)

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1194281899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 TALBERT AVE STE 101",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-241-0646",
            "fax_number": "714-241-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 TALBERT AVE # 101",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-241-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON RICHLAND MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "RICHLAND",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-241-0646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra L Bostic, RNP
• Robin Kay McKasson Boswell, RPH
• Angelica Bowen, M.S.
• Devon Bowen
• Darryl S. Bowles
• Nathalie Nicole Brandon
• Elizabeth Brantner, RBT
• Jaqueline Angelica Bravo
• Breakaway Detox Centers
• Bret K. Batchelor MD a Professional Corporation

• Clinic/Center in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.

Verify at the official NPI Registry.