Individual provider Active NPI

Christina Brown, PA-C

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1477912442
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
52962 Issued in CA
Practice address
6430 Selma Ave
Los Angeles, CA 90028-7311
Phone
(323) 848-4522
NPI assigned
Feb 18, 2016
Last updated
Feb 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 52962 CA Primary

Addresses

Primary practice location

6430 Selma Ave
Los Angeles, CA 90028-7311

Mailing address

1832 Purdue Ave Apt 202
Los Angeles, CA 90025-5590
Phone (415) 233-1894

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
I20200715002163 CA Practitioner - Physician Assistant 0446674048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Midwestern University College of Dental Medicine, Glendale, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13365 W Washington Blvd
Los Angeles, CA 90066-5134
Phone (310) 504-1825

4700 W Pico Blvd
Suite G 5
Los Angeles, CA 90019-4267
Phone (323) 840-1343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
52962CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of California PC CurrentSince Jul 13, 2020 Accepting new patients
The Berkeley Clinic, Inc PastSince Mar 23, 2022 Accepting new patients
Hollywood Walk in Clinic Past Accepting new patients
Carbon Health Primary Care of California PC PastSince May 1, 2023 Accepting new patients

Locations

2690 5th St
Ste B
Alameda, CA 94501
Phone (510) 439-9447

6971 El Camino Real
Ste 101
Carlsbad, CA 92009
Phone (760) 258-4971

8900 Venice Blvd
Ste 109
Culver City, CA 90232
Phone (310) 295-9029

2010 E Carson St
Long Beach, CA 90807
Phone (213) 401-0371

555 E Ocean Blvd
Ste 110
Long Beach, CA 90802
Phone (310) 709-6199

2110 W Sunset Blvd
Ste M
Los Angeles, CA 90026
Phone (510) 686-3621

6160 Laurel Canyon Blvd
Ste 160
North Hollywood, CA 91606
Phone (213) 267-6536

415 N Pacific Coast Hwy
Ste 101
Redondo Beach, CA 90277
Phone (310) 295-9064

3032 Wilshire Blvd
Ste A
Santa Monica, CA 90403
Phone (310) 971-9957

2944 Tapo Canyon Rd
Ste A
Simi Valley, CA 93063
Phone (805) 306-5990

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1477912442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 PURDUE AVE APT 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255590",
            "telephone_number": "415-233-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 SELMA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287311",
            "telephone_number": "323-848-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHRISTINA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.