Individual provider Active NPI

Sarah Brunelle, M.D.

  • Geriatric Psychiatry Physician
  • La Jolla, CA
National Provider Identifier
1467730812
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
A117675 Issued in CA
Practice address
Ucsd Dept of Psychiatry 9500 Gilman Dr
9116A
La Jolla, CA 92093-0001
Phone
(858) 534-4040
Fax
(858) 822-0213
NPI assigned
Aug 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X A117675 CA Primary

Addresses

Primary practice location

Ucsd Dept of Psychiatry 9500 Gilman Dr
9116A
La Jolla, CA 92093-0001

Mailing address

Ucsd Dept of Psychiatry 9500 Gilman Dr
9116A
La Jolla, CA 92093-0001
Phone (858) 534-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A117675CAMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UC San Diego Health Past Accepting new patients
Ucsd Past Accepting new patients

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": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1467730812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UCSD DEPT OF PSYCHIATRY 9500 GILMAN DR",
            "address_2": "9116A",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930001",
            "telephone_number": "858-534-4040",
            "fax_number": "858-822-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UCSD DEPT OF PSYCHIATRY 9500 GILMAN DR",
            "address_2": "9116A",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930001",
            "telephone_number": "858-534-4040",
            "fax_number": "858-822-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNELLE",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "A117675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.