Individual provider Active NPI

Brandon Niemeier, M.D.

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1255622338
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A146453 Issued in CA
Practice address
7850 Vista Hill Ave
San Diego, CA 92123-2717
Phone
(619) 294-4119
Fax
(619) 295-5044
NPI assigned
Apr 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A146453 CA Primary

Addresses

Primary practice location

7850 Vista Hill Ave
San Diego, CA 92123-2717

Mailing address

7850 Vista Hill Ave
San Diego, CA 92123-2717
Phone (619) 294-4119

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190617000289 CA Practitioner - Psychiatry 8921253584 Reassigns benefits to 3 organizations
Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Oklahoma College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Niemeier MD ApcGroup PAC ID 4981030293, 2 clinicians
TMS Neurohealth West Professional Medical CorporationGroup PAC ID 1254605140, 13 clinicians

Practice addresses (Care Compare)

San Diego, CA 92129
Phone (619) 752-0765

1450 Frazee Rd
Suite 700
San Diego, CA 92108-4371
Phone (619) 344-0185

701 Palomar Airport Rd
Suite 100
Carlsbad, CA 92011-1026
Phone (855) 940-4867

780 Bay Blvd
Suite 203
Chula Vista, CA 91910-5261
Phone (855) 940-4867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A146453CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Psychiatry CurrentSince Jun 6, 2020 Accepting new patients
TMS Neurohealth West Professional Medical Corporation Psychiatry CurrentSince Dec 15, 2023 Accepting new patients
Regents of the University of California CurrentSince Jun 6, 2020 Accepting new patients
Psychiatric Services Incorporated Psychiatry Past Accepting new patients
Sana Johnson-Quijada, M.D., Inc. Psychiatry PastSince Feb 27, 2011 Accepting new patients

Locations

30343 Canwood St
Ste 104
Agoura Hills, CA 91301
Phone (818) 706-9300

701 Palomar Airport Rd
Ste 100
Carlsbad, CA 92011

780 Bay Blvd
Ste 203
Chula Vista, CA 91910
Phone (619) 255-1652

9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000

File 57326
Los Angeles, CA 90074

72980 Fred Waring Dr
Ste C
Palm Desert, CA 92260
Phone (844) 467-3867

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

5060 Shoreham Pl
Ste 100
San Diego, CA 92122
Phone (858) 221-0344

1450 Frazee Rd
Ste 700
San Diego, CA 92108
Phone (619) 344-0185

1450 Frazee Rd
Ste 210
San Diego, CA 92108
Phone (844) 467-3867

16835 W Bernardo Dr
Ste 202
San Diego, CA 92127
Phone (844) 467-3867

3220 S Higuera St
Ste 306
Sn Luis Obisp, CA 93401
Phone (561) 385-4855

32605 Temecula Pkwy
Ste 220
Temecula, CA 92592
Phone (844) 467-3867

Interoperability endpoints

  • Direct secure messaging: greenbrooktmsca.brandonniemeier@158454.advancedmd-direct.com
  • Direct secure messaging: brandon.niemeier.1@18773.direct.athenahealth.com

Organizations & group practices 6

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": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1255622338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 VISTA HILL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232717",
            "telephone_number": "619-294-4119",
            "fax_number": "619-295-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 VISTA HILL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232717",
            "telephone_number": "619-294-4119",
            "fax_number": "619-295-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMEIER",
        "first_name": "BRANDON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-25",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A146453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.