Active NPI
David Brosnan, OD
- Optometrist
- Daly City, CA
National Provider Identifier
1437104502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11410T
- Practice address
- 94B Serramonte Ctr
Daly City, CA 94015-2345 - Phone
- (650) 992-8007
- Fax
- (650) 992-6560
- NPI assigned
- May 24, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11410T | CA | Primary |
Addresses
Primary practice location
94B Serramonte Ctr
Daly City, CA 94015-2345
Mailing address
94B Serramonte Ctr
Daly City, CA 94015-2345
Phone (650) 992-8007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14006 | Other | CA | MES |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
630 9TH St
Fortuna, CA 95540-2324
Phone (707) 725-5144
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11410T | CA | MD | Optometrist |
Organizations & group practices 2
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.
-
dba Jerold Phelps Community Hospital
- Critical Access Hospital
- Garberville, CA
- NPI 1003819376
-
- Optometrist
- Daly City, CA
- NPI 1861407223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1437104502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94B SERRAMONTE CTR",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152345",
"telephone_number": "650-992-8007",
"fax_number": "650-992-6560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94B SERRAMONTE CTR",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152345",
"telephone_number": "650-992-8007",
"fax_number": "650-992-6560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROSNAN",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11410T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MES",
"identifier": "14006",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.