Active NPI
Brandi Alexandria Dechellis, LVN
- Rehabilitation Practitioner
- Glendale, CA
National Provider Identifier
1477065563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 500 N Central Ave
Glendale, CA 91203-3905 - Phone
- (323) 939-4228
- NPI assigned
- Oct 29, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
500 N Central Ave
Glendale, CA 91203-3905
Mailing address
9035 Wildwood Ave
Sun Valley, CA 91352-2132
Phone (818) 381-3997
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509235200000",
"number": "1477065563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9035 WILDWOOD AVE",
"city": "SUN VALLEY",
"state": "CA",
"postal_code": "913522132",
"telephone_number": "818-381-3997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N CENTRAL AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912033905",
"telephone_number": "323-939-4228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECHELLIS",
"first_name": "BRANDI",
"middle_name": "ALEXANDRIA",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-29",
"last_updated": "2017-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.