Individual provider Active NPI

Alison Elkins Brown, PA-C

  • Medical Physician Assistant
  • Valencia, CA
National Provider Identifier
1255434197
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA18080 Issued in CA
Practice address
27875 Smyth Dr
Valencia, CA 91355-6063
Phone
(661) 257-9999
Fax
(661) 294-0931
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA18080 CA Primary

Addresses

Primary practice location

27875 Smyth Dr
Valencia, CA 91355-6063

Mailing address

5754 Burnet Ave
Van Nuys, CA 91411-3216
Phone (818) 782-4626

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
I20150723008363 CA Practitioner - Physician Assistant 3870806516 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18080CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Institute of the South Bay Current Accepting new patients
Genesis Healthcare Partners PC Current Accepting new patients
Michael Pin, M.D., PC Past Accepting new patients

Locations

23600 Telo Ave
Ste 220
Torrance, CA 90505
Phone (310) 534-8400

2927 Lomita Blvd
Ste B
Torrance, CA 90505
Phone 42421245804575

Organizations & group practices 4

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1255434197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5754 BURNET AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914113216",
            "telephone_number": "818-782-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27875 SMYTH DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913556063",
            "telephone_number": "661-257-9999",
            "fax_number": "661-294-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ALISON",
        "middle_name": "ELKINS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA18080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.