Active NPI
Brenda L. Holiday, MSN/FNP-C
- Family Nurse Practitioner
- Stockton, CA
National Provider Identifier
1306839352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 15461
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medmark Treatment Centers - Stockton, Inc. | Current | Accepting new patients | |
| Luigi C. Pacini M.D. Inc. | Past | 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.
-
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- Stockton, CA
- NPI 1124007430
-
- Methadone Clinic
- Stockton, CA
- NPI 1851453500
-
- Family Medicine Physician
- Stockton, CA
- NPI 1255490231
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.