Marina Michelle Bragasin, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95022626 Issued in CA

Practice address

413241 12TH Street West
Palmdale, CA 93551

Phone

(661) 945-0818

NPI assigned

Sep 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastro Care InstituteGroup PAC ID 7214273481, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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

• Gastro Care Institute

  • Gastroenterology Physician
  • Lancaster, CA
  • NPI 1326514746
  Medicare reassignment Care Compare group NPD
• Jasbir S Sandhu M D Inc

  • Specialist
  • Palmdale, CA
  • NPI 1477932507
  NPD (past)
• Sandhu Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Palmdale, CA
  • NPI 1699274464
  NPD (past)

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

• Lancaster Hospital Corporation

  dba Palmdale Regional Medical Center

  • General Acute Care Hospital
  • Palmdale, CA
  • NPI 1508856535
  Care Compare affiliation

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1376267971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 AUTUMNMIST DR",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935515000",
            "telephone_number": "661-993-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413241 12TH STREET WEST",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93551",
            "telephone_number": "661-945-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGASIN",
        "first_name": "MARINA",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95022626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrence Bradford, NP
• Megan Bradley
• Robert Bradley
• Heather Marie Brady
• Kaland Brady
• Marlene Esmeralda Bran
• Leah Brandenburg, MFTI
• Susan Brasket
• William Steven Brawders, OD
• Charnelle Breaux

• Nurse Practitioner in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.