Active NPI
Kimberly Michele Brown, MD
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1205100526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A123420
- Practice address
- 2010 Zonal Ave BLDG Lac
Psychiatry First Floor
Los Angeles, CA 90089-0121 - Phone
- (323) 226-5555
- NPI assigned
- Mar 5, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Psychiatry Physician | 2084P0800X | A123420 | CA | Primary |
Addresses
Primary practice location
2010 Zonal Ave BLDG Lac
Psychiatry First Floor
Los Angeles, CA 90089-0121
Mailing address
2010 Zonal Ave BLDG Lac
Psychiatry First Floor
Los Angeles, CA 90089-0121
Phone (310) 975-9557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 19, 2022 through Sep 19, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A123420 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Center | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Los Angeles, CA
- NPI 1487255253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406764800000",
"number": "1205100526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 ZONAL AVE BLDG LAC",
"address_2": "PSYCHIATRY FIRST FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900890121",
"telephone_number": "310-975-9557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 ZONAL AVE BLDG LAC",
"address_2": "PSYCHIATRY FIRST FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900890121",
"telephone_number": "323-226-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KIMBERLY",
"middle_name": "MICHELE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-05",
"last_updated": "2014-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A123420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.