Individual provider Active NPI

Scott P Brause

  • Contractor
  • Torrance, CA
National Provider Identifier
1215668249
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Practice address
1418 Madrid Ave
Torrance, CA 90501-2533
Phone
(310) 488-2799
NPI assigned
Jun 21, 2022
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X CA Primary

Addresses

NPPES NPI Registry

Primary practice location

1418 Madrid Ave
Torrance, CA 90501-2533

Mailing address

1418 Madrid Ave
Torrance, CA 90501-2533
Phone (310) 488-2799

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 21, 2022.

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1215668249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 MADRID AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012533",
            "telephone_number": "310-488-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 MADRID AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012533",
            "telephone_number": "310-488-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUSE",
        "first_name": "SCOTT",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.