Breanna Champion-Ybarra, RN, MSN, PHN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95096098 Issued in CA

Practice address

2618 San Miguel Dr # 2044
Newport Beach, CA 92660-5437

Phone

(888) 569-1442

NPI assigned

Feb 19, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Breanna Champion Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

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.

• Champion Health & Wellness Functional Nursing, P.C.

  • Nursing Care Agency
  • Lake Forest, CA
  • NPI 1700687746
  NPD Authorized official

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1285430546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 SAN MIGUEL DR # 2044",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605437",
            "telephone_number": "888-569-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 SAN MIGUEL DR # 2044",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605437",
            "telephone_number": "888-569-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPION-YBARRA",
        "first_name": "BREANNA",
        "name_prefix": "Ms.",
        "credential": "RN, MSN, PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95096098",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "274785",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNA",
            "last_name": "CHAMPION",
            "prefix": "MS.",
            "credential": "RN, MSN, PHN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• James Cernilia, M.D.
• CG Physical Therapy, Inc.
• Elliott Chadwick, PMHNP
• Christine Chai, MD
• Champion Surgery Center, LLC
• Angela Ferguson Champion, MD
• John C. Champion, M.D.
• Jenny Danh Chan, RD
• Karence Kam Chan, M.D.
• Nithi Chan

• Registered Nurse in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.