Brandon Murti

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

A129855 Issued in CA

Practice address

1955 Sunny Crest Dr Ste 110
Fullerton, CA 92835-3653

Phone

(714) 578-8882

NPI assigned

Apr 12, 2012

Last updated

Jan 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

• County of Los Angeles

  dba County of Los Angeles Harbor UCLA Medical Center

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1851363188
  Medicare reassignment NPD
• County of Los Angeles

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1295407401
  NPD
• North Oc Imaging JV, LLC

  • Radiology Clinic/Center
  • Chino Hills, CA
  • NPI 1376209940
  NPD
• North Oc Imaging JV, LLC

  • Radiology Clinic/Center
  • Irvine, CA
  • NPI 1952026643
  NPD
• Shin Imaging LLC

  dba Shin Imaging Center

  • Radiology Clinic/Center
  • Fullerton, CA
  • NPI 1235689175
  NPD
• Shin Imaging LLC

  dba Shin Imaging Center

  • Radiology Clinic/Center
  • Buena Park, CA
  • NPI 1538660410
  NPD
• Shin MRI LLC

  • Radiology Clinic/Center
  • Los Angeles, CA
  • NPI 1295841377
  NPD

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1396002689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 SUNNY CREST DR STE 110",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 SUNNY CREST DR STE 110",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353653",
            "telephone_number": "714-578-8882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16506 Lakewood Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bellflower",
            "state": "CA",
            "postal_code": "907065165",
            "country_code": "US",
            "telephone_number": "562-888-8961",
            "fax_number": "562-888-8962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURTI",
        "first_name": "BRANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-12",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A129855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyne Murillo
• Agnieszka Murphy, PTA
• Devin Eileen Murphy
• Hera Murray
• Amelie Francess Murrieta
• Zahkiira Mustafa
• My Abc Enterprises, LLC (Somerset Homes)
• Samantha Diane Myers
• Steven Andrew Myers, D.D.S.
• Mygoal Physical Therapy and Wellness PC

• Vascular & Interventional Radiology Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Vascular & Interventional Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.