Individual provider Active NPI

Brenna Dumerton

  • Psychiatric/Mental Health Nurse Practitioner
  • Huntington Beach, CA
National Provider Identifier
1386455210
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95033114 Issued in CA
Practice address
19671 Beach Blvd Ste 215
Huntington Beach, CA 92648-5903
Phone
(714) 545-5550
NPI assigned
Jan 20, 2025
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95033114 CA Primary

Addresses

Primary practice location

19671 Beach Blvd Ste 215
Huntington Beach, CA 92648-5903

Mailing address

19782 Macarthur Blvd Ste 300
Irvine, CA 92612-2417
Phone (714) 545-5550

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250328002448 CA Practitioner - Nurse Practitioner 4082137138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95033114CAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1386455210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19782 MACARTHUR BLVD STE 300",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122417",
            "telephone_number": "714-545-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19671 BEACH BLVD STE 215",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485903",
            "telephone_number": "714-545-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMERTON",
        "first_name": "BRENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95033114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.