Naomi Leah Breckon, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A184063 Issued in CA

Practice address

911 Moraga Rd Ste 101
Lafayette, CA 94549-4591

Phone

(925) 444-7073

NPI assigned

Apr 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 10, 2023 through Oct 10, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: naomi.breckon@654211354656772.direct.elationemr.com

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.

• East Bay Health Medical Group SPC

  • Primary Care Clinic/Center
  • Lafayette, CA
  • NPI 1780466201
  NPD Authorized official

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

{
    "created_epoch": "1586563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1407475395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 MORAGA RD STE 101",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494591",
            "telephone_number": "925-444-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 MORAGA RD STE 101",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494591",
            "telephone_number": "925-444-7073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Treat Blvd Ste 320",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945972168",
            "country_code": "US",
            "telephone_number": "925-296-9880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRECKON",
        "first_name": "NAOMI",
        "middle_name": "LEAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-11",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A184063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Helene Bove, MFC
• G. Kenneth Bradford III, PHD
• Janelle Brady, MS, LMFT
• Christine Bratton, P.T.
• Brianna Kendra Munson Braun, DPT
• Breitling Audiology Group PC
• Erik Martin Breitling, AU.D.
• Eleanor Katherine Breslin, RN
• Christine M Brewer, LMFT
• Brightside Speech Therapy

• All providers in Lafayette, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.