Active NPI
Sherry Braheny, M.D., a Prof. Corp.
- Neurology Physician
- La Mesa, CA
National Provider Identifier
1336455328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A30215
- Legal business name
- SHERRY BRAHENY, M.D., A PROF. CORP.
- Practice address
- 8851 Center Dr
Suite 600
La Mesa, CA 91942-3017 - Phone
- (619) 589-6106
- Fax
- (619) 589-0785
- NPI assigned
- Aug 27, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sherry Lee Braheny, M.D.
- Title
- President
- Phone
- (619) 589-6106
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A30215 | CA | Primary |
Addresses
Primary practice location
8851 Center Dr
Suite 600
La Mesa, CA 91942-3017
Mailing address
8851 Center Dr
Suite 600
La Mesa, CA 91942-3017
Phone (619) 589-6106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A302152 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282867200000",
"number": "1336455328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8851 CENTER DR",
"address_2": "SUITE 600",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423017",
"telephone_number": "619-589-6106",
"fax_number": "619-589-0785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8851 CENTER DR",
"address_2": "SUITE 600",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423017",
"telephone_number": "619-589-6106",
"fax_number": "619-589-0785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERRY BRAHENY, M.D., A PROF. CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-27",
"last_updated": "2010-08-27",
"status": "A",
"authorized_official_last_name": "BRAHENY",
"authorized_official_first_name": "SHERRY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "619-589-6106",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A30215",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A302152",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.