Individual provider Active NPI

Brian A. Aldape, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1457167652
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95031011 Issued in CA
Practice address
1520 E 63Rd St
Long Beach, CA 90805-3114
Phone
(562) 310-5643
NPI assigned
Dec 4, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95031011 CA Primary

Addresses

Primary practice location

1520 E 63Rd St
Long Beach, CA 90805-3114

Mailing address

1520 E 63Rd St
Long Beach, CA 90805-3114
Phone (562) 310-5643

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250514003846 CA Practitioner - Nurse Practitioner 1658899570 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
Group practices
Southern California Multi-Specialty Center IncGroup PAC ID 4082953336, 16 clinicians

Practice addresses (Care Compare)

5805 Sepulveda Blvd
Suite 690
Sherman Oaks, CA 91411-2522
Phone (818) 900-6480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95031011CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Multi-Specialty Center Inc CurrentSince May 1, 2025 Accepting new patients
Southern California Multi-Specialty Center Inc CurrentSince May 1, 2025 Accepting new patients

Locations

19950 Rinaldi St
Ste 101D
Porter Ranch, CA 91326
Phone (818) 488-5188

18345 Ventura Blvd
Ste 510
Tarzana, CA 91356
Phone (818) 757-7600

5805 Sepulveda Blvd
Ste 690
Van Nuys, CA 91411
Phone (818) 900-6480

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1457167652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 E 63RD ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908053114",
            "telephone_number": "562-310-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 E 63RD ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908053114",
            "telephone_number": "562-310-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDAPE",
        "first_name": "BRIAN",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.