Organization Active NPI

Hosea E Brown MD Inc

  • Allergy Physician
  • Palm Springs, CA
National Provider Identifier
1316265010
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
G33523 Issued in CA
Legal business name
HOSEA E BROWN MD INC
Practice address
1276 N Palm Canyon Dr
Suite 110
Palm Springs, CA 92262-4411
Phone
(760) 320-9464
Fax
(760) 320-6244
NPI assigned
May 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Authorized official

Name
Dr. Hosea E Brown, MDNPI 1891787289
Title
President/Ceo
Phone
(760) 320-9464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207KA0200X 24719 AZ
Allergy PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207KA0200X G33523 CA Primary

Addresses

Primary practice location

1276 N Palm Canyon Dr
Suite 110
Palm Springs, CA 92262-4411

Mailing address

PO Box 1503
Palm Springs, CA 92263-1503
Phone (760) 320-9464

Other identifiers 3

IdentifierTypeStateIssuer
AZ0803500OtherAZBLUE CROSS BLUE SHIELD
365975MedicaidAZ
00G335230MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100820000468 CA Part B Supplier - Clinic/Group Practice 7113057803 Receives reassigned benefits from 1 practitioner
Practice locations: Indio, CA; Yucca Valley, CA; San Bernardino, CA; Palm Springs, CA; Hemet, CA; Banning, CA

National Provider Directory

National Provider Directory

Locations

199 S Candy Ln
Ste 2B
Cottonwood, AZ 86326
Phone (928) 634-6615

5653 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 763-0020

1951 Mesquite Ave
Ste E
Lk Havasu Cty, AZ 86403
Phone (928) 505-2260

3755 Karicio Ln
Ste 2A
Prescott, AZ 86303
Phone (928) 443-9394

255 W 24th St
Ste 1
Yuma, AZ 85364
Phone (928) 344-6260

214 W Hobsonway
Ofc
Blythe, CA 92225

1224 W State St
Ste B
El Centro, CA 92243

1224 W State St
Ofc
El Centro, CA 92243

12712 Heacock St
Ste 2
Moreno Valley, CA 92553
Phone (951) 571-3540

730 N Norma St
Ste A
Ridgecrest, CA 93555
Phone (760) 499-6611

225 W Hospitality Ln
Ste 302
San Bernardino, CA 92408

56650 29 Palms Hwy
Ofc
Yucca Valley, CA 92284

56650 29 Palms Hwy
Yucca Valley, CA 92284
Phone (760) 365-9261

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1316265010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1503",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922631503",
            "telephone_number": "760-320-9464",
            "fax_number": "760-320-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 N PALM CANYON DR",
            "address_2": "SUITE 110",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624411",
            "telephone_number": "760-320-9464",
            "fax_number": "760-320-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSEA E BROWN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "HOSEA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "760-320-9464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "AZ",
            "license": "24719",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "G33523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0803500",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365975",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G335230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.