Individual provider Active NPI

Brenda L. Holiday, MSN/FNP-C

  • Family Nurse Practitioner
  • Stockton, CA
National Provider Identifier
1306839352
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15461 Issued in CA
Practice address
1307 N Commerce St
Stockton, CA 95202-1012
Phone
(209) 464-7757
Fax
(209) 464-7761
NPI assigned
Aug 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 15461 CA Primary

Addresses

Primary practice location

1307 N Commerce St
Stockton, CA 95202-1012

Mailing address

2157 N Argonaut St
Stockton, CA 95204-6201
Phone (209) 943-1620

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071024000380 CA Practitioner - Nurse Practitioner 4385731280 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medmark Treatment Centers - Stockton, Inc. CurrentSince Jan 30, 2026 Accepting new patients
Luigi C. Pacini M.D. Inc. PastSince Jul 15, 2017 Accepting new patients

Locations

1111 N El Dorado St
Stockton, CA 95202
Phone (209) 451-5272

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306839352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 N ARGONAUT ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046201",
            "telephone_number": "209-943-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 N COMMERCE ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021012",
            "telephone_number": "209-464-7757",
            "fax_number": "209-464-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLIDAY",
        "first_name": "BRENDA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "MSN/FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "15461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.