Active NPI
Shawn Byron Brewster, PA-C
- Physician Assistant
- Long Beach, CA
National Provider Identifier
1437192234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA15677
- Practice address
- 2600 Redondo Ave
Long Beach, CA 90806-2329 - Phone
- (562) 988-7420
- NPI assigned
- Jun 13, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA15677 | CA | Primary |
Addresses
Primary practice location
2600 Redondo Ave
Long Beach, CA 90806-2329
Mailing address
13842 Winthrope St
Santa Ana, CA 92705-2755
Phone (714) 313-0847
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160114002293 | CA | Order and Referring Only - Physician Assistant | 3274532304 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA15677 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1437192234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13842 WINTHROPE ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927052755",
"telephone_number": "714-313-0847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 REDONDO AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062329",
"telephone_number": "562-988-7420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWSTER",
"first_name": "SHAWN",
"middle_name": "BYRON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA15677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.