Individual provider Active NPI

Mitchell Evan Brown, MD

  • Emergency Medicine Physician
  • Menifee, CA
National Provider Identifier
1316441793
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A174271 Issued in CA
Practice address
28400 McCall Blvd
Menifee, CA 92585-9537
Phone
(310) 990-8891
NPI assigned
Mar 21, 2018
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A174271 CA Primary

Addresses

Primary practice location

28400 McCall Blvd
Menifee, CA 92585-9537

Mailing address

41544 Margarita Rd Apt 312
Temecula, CA 92591-2937
Phone (310) 990-8891

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211111002276 CA Practitioner - Emergency Medicine 6002205150 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palomar Emergency Physicians, IncGroup PAC ID 9830593730, 71 clinicians

Practice addresses (Care Compare)

15615 Pomerado Rd
Poway, CA 92064-2405
Phone (310) 379-2134

333 H St
Suite 2080
Chula Vista, CA 91910-5558
Phone (619) 662-4100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.47 of 100Reported as group
Quality
85.24
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A174271CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Star Hospital Associates Inc. CurrentSince Oct 1, 2021 Accepting new patients
Palomar Emergency Physicians, Inc Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc. Current Accepting new patients
Alvarado Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince Nov 9, 2024 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc. CurrentSince Nov 9, 2024 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc. Past Accepting new patients

Locations

1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780

333 H St
Ste 2080
Chula Vista, CA 91910

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

1136 D Ave
National City, CA 91950
Phone (619) 336-2300

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

28400 McCall Blvd
Sun City, CA 92585
Phone (909) 679-8888

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mbrown54513@syhealth.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1316441793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41544 MARGARITA RD APT 312",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925912937",
            "telephone_number": "310-990-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28400 MCCALL BLVD",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925859537",
            "telephone_number": "310-990-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MITCHELL",
        "middle_name": "EVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A174271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

Verify at the official NPI Registry.