Brandon Gene Iott

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Practice address

714 W Main St
Grass Valley, CA 95945-6410

Phone

(530) 477-9800

Fax

(530) 477-9803

NPI assigned

Jul 11, 2012

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 11, 2012.

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1336404706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W MAIN ST",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959456410",
            "telephone_number": "530-477-9800",
            "fax_number": "530-477-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W MAIN ST",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959456410",
            "telephone_number": "530-477-9800",
            "fax_number": "530-477-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IOTT",
        "first_name": "BRANDON",
        "middle_name": "GENE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Ingendaay, M.D.
• Christopher Jordan Ingram
• Insight Imaging Inc
• Insight Respite Center
• Interim Assisted Care of Northern California
• Ian P Isbell
• Carol Ito, L.AC.
• Kim Iverson-Lee, PT
• Ivey Physical Therapy a Professional Corporation
• Kevin Dale Ivey, P.T.

• All providers in Grass Valley, CA
• Emotionally Disturbed Childrens' Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.