Organization Active NPI

Niemeier MD Apc

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1275177271
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NIEMEIER MD APC
Practice address
4660 La Jolla Village Dr Ste 100
San Diego, CA 92122-4604
Phone
(619) 752-0765
Fax
(858) 356-6252
NPI assigned
Nov 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Dr. Brandon M NiemeierNPI 1255622338
Title
Doctor
Phone
(619) 752-0765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

4660 La Jolla Village Dr Ste 100
San Diego, CA 92122-4604

Mailing address

4660 La Jolla Village Dr Ste 100
San Diego, CA 92122-4604
Phone (619) 752-0765

Other names 1

  • NIEMEIER MD APC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200205001463 CA Part B Supplier - Clinic/Group Practice 4981030293 Receives reassigned benefits from 2 practitioners
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

122 15th St
Unit 2683
Del Mar, CA 92014

674 Via de la Valle
Ste 114
Solana Beach, CA 92075
Phone (619) 719-1348

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1275177271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 LA JOLLA VILLAGE DR STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921224604",
            "telephone_number": "619-752-0765",
            "fax_number": "858-356-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 LA JOLLA VILLAGE DR STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921224604",
            "telephone_number": "619-752-0765",
            "fax_number": "858-356-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIEMEIER MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-01",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "NIEMEIER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "619-752-0765",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NIEMEIER MD APC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.