Active NPI
Neyda Brodnansky, F.N.P.
- Family Nurse Practitioner
- San Pedro, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 488307
- Practice address
- 1360 W 6TH St
#120
San Pedro, CA 90732-3514 - Phone
- (310) 428-4699
- Fax
- (310) 833-2462
- NPI assigned
- May 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 488307 | CA | Primary |
Addresses
Primary practice location
1360 W 6TH St
#120
San Pedro, CA 90732-3514
Mailing address
1360 W 6TH St
#120
San Pedro, CA 90732-3514
Phone (310) 428-4699
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 488307 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| American Advanced Practice Network, P.C. | Current | Accepting new patients | |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Dr Mona Shah Professional Corporation | Past | Accepting new patients | |
| Providence Saint John'S Health Center | Past | Accepting new patients |
Locations
26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225
359 Carmen Dr
Camarillo, CA 93010
Phone (805) 914-5592
475 Foothill Blvd
Ste K
La Canada, CA 91011
Phone (818) 528-6377
8985 Venice Blvd
Los Angeles, CA 90034
Phone (310) 474-2152
2090 Westwood Blvd
Los Angeles, CA 90025
Phone (213) 813-4070
8000 W Sunset Blvd
Ste C110
Los Angeles, CA 90046
Phone (213) 412-0400
3215 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (424) 295-0540
4730 Lincoln Blvd
Marina del Rey, CA 90292
Phone (424) 352-0371
19346 Nordhoff St
Northridge, CA 91324
Phone (818) 727-2024
3160 E Del Mar Blvd
Ste 110
Pasadena, CA 91107
Phone (626) 270-2400
6020 Seabluff Dr
Ste 1
Playa Vista, CA 90094
Phone (310) 862-0400
19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400
725 S Pacific Coast Hwy
Redondo Beach, CA 90277
Phone (424) 296-3100
395 Silver Spur Rd
Rolling Hills Estates, CA 90274
Phone (424) 323-3500
14550 Soledad Canyon Rd
#100
Santa Clarita, CA 91387
Phone (661) 488-7402
13303 Riverside Dr
Sherman Oaks, CA 91423
Phone (818) 287-7409
25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020
701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400
6440 Platt Ave
West Hills, CA 91307
Phone (818) 946-1103
111 S Westlake Blvd
Ste 110
Westlake Village, CA 91362
Phone (805) 557-8177
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.
-
- Internal Medicine Physician
- Valencia, CA
- NPI 1710031588
-
- Multi-Specialty Clinic/Center
- Irvine, CA
- NPI 1891348447
-
- Internal Medicine Physician
- San Pedro, CA
- NPI 1053643171
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220400000000",
"number": "1275748295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 W 6TH ST",
"address_2": "#120",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907323514",
"telephone_number": "310-428-4699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 W 6TH ST",
"address_2": "#120",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907323514",
"telephone_number": "310-428-4699",
"fax_number": "310-833-2462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODNANSKY",
"first_name": "NEYDA",
"name_prefix": "Mrs.",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-12",
"last_updated": "2008-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "488307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.