Individual provider Active NPI

Barbara Jean Brennan

  • Certified Registered Nurse Anesthetist
  • Inglewood, CA
National Provider Identifier
1326393083
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4330 Issued in CA
Practice address
311 S Myers PL
Inglewood, CA 90301-2215
Phone
(310) 308-2664
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Certified Registered Nurse Anesthetist 367500000X 4330 CA Primary

Addresses

Primary practice location

311 S Myers PL
Inglewood, CA 90301-2215

Mailing address

311 S Myers PL
Inglewood, CA 90301-2215
Phone (310) 308-2664

Other names 1

  • Bonnie Brennan Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130801000792 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103067103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1301 20TH St
Suite 280
Santa Monica, CA 90404-2053
Phone (310) 829-6789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Jun 1, 2013 Accepting new patients
County of Los Angeles CurrentSince Jun 1, 2013 Accepting new patients
Digestive Health Associates of Southern California Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2019 Accepting new patients
Digestive Health Associates of Southern California CurrentSince Sep 1, 2019 Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1301 20th St
Ste 280
Santa Monica, CA 90404
Phone (310) 829-6789

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1326393083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S MYERS PL",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903012215",
            "telephone_number": "310-308-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S MYERS PL",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903012215",
            "telephone_number": "310-308-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "BARBARA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "4330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "BRENNAN",
            "credential": "CRNA, MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.