Individual provider Active NPI

Jennifer Lauren Brodsky

  • Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1427480136
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
23363 Issued in CA
Practice address
429 Buchanan St
San Francisco, CA 94102-5529
Phone
(808) 300-5008
Fax
(844) 572-2859
NPI assigned
Aug 5, 2013
Last updated
Apr 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4024 HI
Nurse Practitioner 363L00000X 23363 CA Primary

Addresses

Primary practice location

429 Buchanan St
San Francisco, CA 94102-5529

Mailing address

429 Buchanan St
San Francisco, CA 94102-5529
Phone (808) 300-5008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161214001587 CA Practitioner - Nurse Practitioner 9830326487 Reassigns benefits to 1 organization
I20250508001197 HI Practitioner - Nurse Practitioner 9830326487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

270 Hookahi St
Suite 212
Wailuku, HI 96793-1466
Phone (808) 303-1361

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4024HIMDClinical Social Worker
23363CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Counseling Group, LLC CurrentSince Jan 25, 2025 Accepting new patients
Tranquil Mind Telemedicine a Nursing Professional Corporation Nurse Practitioner CurrentSince Dec 1, 2024 Accepting new patients
County of San Mateo CurrentSince Nov 20, 2016 Accepting new patients
County of San Mateo CurrentSince Nov 20, 2016 Accepting new patients
County of San Mateo Current Accepting new patients

Locations

380 90th St
Daly City, CA 94015
Phone (650) 301-8600

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

306 Spruce Ave
South San Francisco, CA 94080
Phone (650) 589-9305

270 Hookahi St
Ste 212
Wailuku, HI 96793
Phone (808) 249-2213

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1427480136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 BUCHANAN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025529",
            "telephone_number": "808-300-5008",
            "fax_number": "844-572-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 BUCHANAN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025529",
            "telephone_number": "808-300-5008",
            "fax_number": "844-572-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODSKY",
        "first_name": "JENNIFER",
        "middle_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "4024",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "23363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.