Individual provider Active NPI

James Steven Brust, M.D.

  • Psychiatry Physician
  • San Pedro, CA
National Provider Identifier
1427184571
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G23423 Issued in CA
Practice address
2403 S Moray Ave
Suite 4
San Pedro, CA 90732-4342
Phone
(310) 832-7943
Fax
(310) 514-8017
NPI assigned
Feb 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G23423 CA Primary

Addresses

Primary practice location

2403 S Moray Ave
Suite 4
San Pedro, CA 90732-4342

Mailing address

2403 S Moray Ave
Suite 4
San Pedro, CA 90732-4342
Phone (310) 832-7943

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120127000708 CA Practitioner - Psychiatry 5294992582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Boston University School of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2403 S Moray Ave
Suite 4
San Pedro, CA 90732-4356
Phone (310) 832-7943

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G23423CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James S. Brust, M.D., Inc. Psychiatry CurrentSince Oct 21, 2011 Accepting new patients

Locations

2403 S Moray Ave
Ste 4
San Pedro, CA 90732
Phone (310) 832-7943

Organizations & group practices 1

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": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427184571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 S MORAY AVE",
            "address_2": "SUITE 4",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907324342",
            "telephone_number": "310-832-7943",
            "fax_number": "310-514-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 S MORAY AVE",
            "address_2": "SUITE 4",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907324342",
            "telephone_number": "310-832-7943",
            "fax_number": "310-514-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUST",
        "first_name": "JAMES",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G23423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

Verify at the official NPI Registry.