Organization Active NPI

Brianna Cardenas, Physician Assistant, Inc

  • Physician Assistant
  • Seattle, WA
National Provider Identifier
1356037691
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
BRIANNA CARDENAS, PHYSICIAN ASSISTANT, INC
Practice address
1700 Westlake Ave N Ste 100
Seattle, WA 98109-6212
Phone
(206) 379-1213
Fax
(206) 492-2003
NPI assigned
Apr 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Dr. Brianna Renee Cardenas, DMSC, PA-C, ATCNPI 1205265519
Title
Ceo
Phone
(909) 375-9011

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
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

1700 Westlake Ave N Ste 100
Seattle, WA 98109-6212

Mailing address

2105 Foothill Blvd Ste B154
La Verne, CA 91750-2901
Phone (206) 379-1213

Other practice location 1

1060 E Foothill Blvd Ste 203
Upland, CA 91786-4070
Phone (206) 379-1213

Other practice location 2

2105 Foothill Blvd Ste B154
La Verne, CA 91750-2901
Phone (909) 375-9011

Other names 1

  • Healed and Empowered Doing business as

National Provider Directory

National Provider Directory

Locations

2105 Foothill Blvd
Ste B154
La Verne, CA 91750
Phone (909) 375-9011

1060 E Foothill Blvd
Ste 203
Upland, CA 91786
Phone (909) 375-9011

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1356037691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 FOOTHILL BLVD STE B154",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917502901",
            "telephone_number": "206-379-1213",
            "fax_number": "206-492-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WESTLAKE AVE N STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981096212",
            "telephone_number": "206-379-1213",
            "fax_number": "206-492-2003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1060 E Foothill Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917864070",
            "country_code": "US",
            "telephone_number": "206-379-1213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2105 Foothill Blvd Ste B154",
            "address_purpose": "LOCATION",
            "city": "La Verne",
            "state": "CA",
            "postal_code": "917502901",
            "country_code": "US",
            "telephone_number": "909-375-9011",
            "fax_number": "323-877-7695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIANNA CARDENAS, PHYSICIAN ASSISTANT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "CARDENAS",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-375-9011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMSC, PA-C, ATC"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healed and Empowered",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.