Active NPI
Birinder S Brara, MD
- Family Medicine Physician
- Long Beach, CA
National Provider Identifier
1215957451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A34017
- Practice address
- 3816 Woodruff Ave Ste 205
Long Beach, CA 90808-2145 - Phone
- (562) 421-7292
- Fax
- (562) 429-0814
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A34017 | CA | |
| Family Medicine Physician | 207Q00000X | A34017 | CA | Primary |
| Surgery Physician | 208600000X | A34017 | CA |
Addresses
Primary practice location
3816 Woodruff Ave Ste 205
Long Beach, CA 90808-2145
Mailing address
3816 Woodruff Ave Ste 205
Long Beach, CA 90808-2145
Phone (562) 421-7292
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A340170 | Medicaid | CA | |
| 930129075 | Other | CA | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A34017 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Beach Memorial Medical | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| Premier Health Partners | Emergency Medicine | Past | Accepting new patients |
| Alta Los Angeles Hospitals, Inc. | Past | Accepting new patients | |
| Norwalk Community Emergency Physician Group Inc | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1922001809
-
- Rehabilitation Hospital Unit
- Long Beach, CA
- NPI 1396791414
-
- Emergency Medicine Physician
- Norwalk, CA
- NPI 1942388947
-
- Emergency Medicine Physician
- Blythe, CA
- NPI 1609170232
-
- General Acute Care Hospital
- Lakewood, CA
- NPI 1184655581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276214400000",
"number": "1215957451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3816 WOODRUFF AVE STE 205",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908082145",
"telephone_number": "562-421-7292",
"fax_number": "562-429-0814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3816 WOODRUFF AVE STE 205",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908082145",
"telephone_number": "562-421-7292",
"fax_number": "562-429-0814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRARA",
"first_name": "BIRINDER",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2010-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A34017",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A34017",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A34017",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A340170",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "930129075",
"state": "CA"
}
],
"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 Jun 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.