Individual provider Active NPI

Brittany A Difani, PA

  • Physician Assistant
  • White City, OR
National Provider Identifier
1376911057
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA174760 Issued in OR
Practice address
8385 Division Rd
White City, OR 97503-1176
Phone
(541) 826-5853
NPI assigned
Sep 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA174760 OR Primary

Addresses

Primary practice location

8385 Division Rd
White City, OR 97503-1176

Mailing address

1221 Disk Dr
Medford, OR 97501-6638
Phone (415) 773-3863

Other practice location 1

2825 East Barnett Rd
Medford, OR 97504-8332
Phone (541) 789-7000

Other names 1

  • Brittany A Lanzi Former name

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20151008002559 OR Practitioner - Physician Assistant 2668780784 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Asante CurrentSince Aug 23, 2024 Accepting new patients
Rogue Community Health CurrentSince Jan 6, 2025 Accepting new patients
Rogue Community Health CurrentSince Jan 6, 2025 Accepting new patients
Asante CurrentSince Aug 23, 2024 Accepting new patients

Locations

19 Myrtle St
Medford, OR 97504
Phone (541) 773-4563

520 Medical Center Dr
Ste 300
Medford, OR 97504
Phone (503) 779-0837

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

1221 Disk Dr
Medford, OR 97501

550 Wilson Way
White City, OR 97503
Phone (541) 830-6315

8385 Division Rd
White City, OR 97503
Phone (541) 500-0989

Interoperability endpoints

  • Direct secure messaging: brittanylanzi@osspc.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1376911057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 DISK DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975016638",
            "telephone_number": "415-773-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8385 DIVISION RD",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "975031176",
            "telephone_number": "541-826-5853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2825 East Barnett Rd",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975048332",
            "country_code": "US",
            "telephone_number": "541-789-7000",
            "fax_number": "541-282-6710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIFANI",
        "first_name": "BRITTANY",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA174760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "LANZI",
            "middle_name": "A",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in White City, OR

Sources for this page

Verify at the official NPI Registry.