Active NPI
Brandi Medina
- Adult Medicine Physician
- Woodland Hills, CA
National Provider Identifier
1295360782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 0000000
- Practice address
- 21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807 - Phone
- (971) 206-6337
- NPI assigned
- Mar 5, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Adult Medicine Physician | 207QA0505X | 0000000 | TX | Primary |
Addresses
Primary practice location
21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Mailing address
21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 808409140860054 | Other | AETNA | |
| 0000000000 | Other | TX | AETNA |
| 0000000000 | Medicaid | TX |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.centerforautism.com/ | ||
| CONNECT URL | https://www.centerforautism.com/ | ||
| CONNECT URL | https://www.centerforautism.com/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000000 | TX | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583366400000",
"number": "1295360782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21600 OXNARD ST STE 1800",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913677807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21600 OXNARD ST STE 1800",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913677807",
"telephone_number": "971-206-6337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "BRANDI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-05",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "TX",
"license": "0000000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "808409140860054",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0000000000",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000000000",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.centerforautism.com/",
"affiliation": "N",
"address_1": "21600 Oxnard St Ste 1800",
"city": "Woodland Hills",
"state": "CA",
"country_code": "US",
"postal_code": "913677807",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.centerforautism.com/",
"affiliation": "N",
"address_1": "21600 Oxnard St Ste 1800",
"city": "Woodland Hills",
"state": "CA",
"country_code": "US",
"postal_code": "913677807",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.centerforautism.com/",
"affiliation": "N",
"address_1": "21600 Oxnard St Ste 1800",
"city": "Woodland Hills",
"state": "CA",
"country_code": "US",
"postal_code": "913677807",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.