Brianna Marie Padron, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA62615 Issued in CA

Practice address

1530 S Olive St
Los Angeles, CA 90015-3023

Phone

(213) 747-5542

NPI assigned

Aug 19, 2022

Last updated

Apr 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apla Health & Wellness

  dba APLA Health & Wellness Center - Baldwin Hills

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1639414139
  NPD (past)
• Apla Health & Wellness

  dba APLA Health & Wellness - Long Beach Center

  • Federally Qualified Health Center (FQHC)
  • Long Beach, CA
  • NPI 1811367709
  NPD (past)

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1285352740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 HARRISON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111802",
            "telephone_number": "954-303-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 S OLIVE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153023",
            "telephone_number": "213-747-5542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 N 4th St Apt C",
            "address_purpose": "LOCATION",
            "city": "Alhambra",
            "state": "CA",
            "postal_code": "918013417",
            "country_code": "US",
            "telephone_number": "954-303-5177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADRON",
        "first_name": "BRIANNA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA62615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adhithi Padmanabhan, LMFT
• Amy Padnick, LMFT
• Jessica Padover, MS
• Rosanne Padovich, CRNA
• Charles J Padow, LCSW
• Fatima Padron
• Ray Jacob Padron
• Emilie Celis Padronia, PT
• Alvina G Padua
• David Miguel Padua, M.D.

• Medical Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.

Verify at the official NPI Registry.