Individual provider Active NPI

Erika Kim Rosel Brosas, DNP, FNP-BC

  • Nurse Practitioner
  • Tarzana, CA
National Provider Identifier
1205690138
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95028930 Issued in CA
Practice address
18607 Ventura Blvd Ste 102
Tarzana, CA 91356-6804
Phone
(818) 600-1472
Fax
(818) 600-1494
NPI assigned
Feb 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95028930 CA Primary

Addresses

Primary practice location

18607 Ventura Blvd Ste 102
Tarzana, CA 91356-6804

Mailing address

18607 Ventura Blvd Ste 102
Tarzana, CA 91356-6804
Phone (818) 600-1472

Other practice location 1

13730 Sherman Way Apt 202
Van Nuys, CA 91405-2628
Phone (818) 267-9559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126001807 CA Practitioner - Nurse Practitioner 4183159247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Comprehensive Medical Group IncGroup PAC ID 0648421800, 6 clinicians

Practice addresses (Care Compare)

18607 Ventura Blvd
Suite 102
Tarzana, CA 91356-6804
Phone 81860014721

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95028930CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Comprehensive Medical Group, Inc. CurrentSince Sep 20, 2024 Accepting new patients

Locations

18607 Ventura Blvd
Ste 102
Tarzana, CA 91356
Phone (818) 600-1472

5352 Laurel Canyon Blvd
Ste 100
Valley Village, CA 91607
Phone (747) 254-1154

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: erika.brosas.p1@direct.thrivecmg.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1205690138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18607 VENTURA BLVD STE 102",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566804",
            "telephone_number": "818-600-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18607 VENTURA BLVD STE 102",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566804",
            "telephone_number": "818-600-1472",
            "fax_number": "818-600-1494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13730 Sherman Way Apt 202",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914052628",
            "country_code": "US",
            "telephone_number": "818-267-9559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROSAS",
        "first_name": "ERIKA KIM",
        "middle_name": "ROSEL",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95028930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.