Francisco Daniel Brizuela, BS, LPT, NCPT3, CCMA

Primary specialty

Rehabilitation CounselorTaxonomy code 225C00000X

License

20-CMHRS-00017 Issued in CA

Practice address

2019 S Van Ness Ave
Santa Ana, CA 92707-2639

Phone

(714) 317-3573

NPI assigned

Dec 9, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 10

Other names 1

• Mr. Daniel Brizuela Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

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.

• M.I.R.N.a.a. LLC

  • Community/Behavioral Health Agency
  • Santa Ana, CA
  • NPI 1710814157

  Contractor

  NPD Authorized official
• Breakaway Detox Centers

  • Substance Abuse Rehabilitation Facility
  • Fountain Valley, CA
  • NPI 1639751373
  NPD (past)
• Breakaway Health Corporation

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Costa Mesa, CA
  • NPI 1851474225

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1477159846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 S VAN NESS AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927072639",
            "telephone_number": "714-371-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 S VAN NESS AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927072639",
            "telephone_number": "714-317-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIZUELA",
        "first_name": "FRANCISCO",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "BS, LPT, NCPT3, CCMA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-09",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "CA",
            "license": "20-CMHRS-00017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED BEHAVIOR TECHNICIAN (RBT)",
            "identifier": "1073468",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMERGENCY MEDICAL TECHNICIAN (EMT-I)",
            "identifier": "30-0051",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PSYCHIATRIC TECHNICIAN (LPT)",
            "identifier": "PT1284961217",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED MENTAL HEALTH REHABILITATION SPECIALIST (CMHRS)",
            "identifier": "20-CMHRS-00017",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED LEGAL NURSE CONSULTANT (CLNC)",
            "identifier": "CLNC01212024",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONALLY CERTIFIED PSYCHIATRIC TECHNICIAN LEVEL 3 (NCPT3)",
            "identifier": "PT2018-227",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA CERTIFIED MEDICAL ASSISTANT (CCMA-AC)",
            "identifier": "18302-17",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE USE DISORDER REGISTERED COUNSELOR (SUDRC)",
            "identifier": "13922959",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED PHLEBOTOMY TECHNICIAN (CPT)",
            "identifier": "20-3194",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED MEDICATION TECHNICIAN (CMT)",
            "identifier": "052018CMT",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "danielbri.mirnaallc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "GMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Psychiatric and Physical Health",
            "address_1": "2019 S Van Ness Ave",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927072639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DANIEL",
            "last_name": "BRIZUELA",
            "prefix": "MR.",
            "credential": "NCPT3, CCMA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Rehabilitation Counselor in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Rehabilitation Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.