Brandon Chang Hwun Ro, MSN, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95029635 Issued in CA

Practice address

5565 Grossmont Center Dr Ste 229
La Mesa, CA 91942-3026

Phone

(858) 342-4572

NPI assigned

Aug 4, 2022

Last updated

Sep 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Datnguyen, M.D., Inc.Group PAC ID 4587668736, 16 clinicians

D William Nguyen MD ApcGroup PAC ID 6204280373, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

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.

• D William Nguyen MD Apc

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1457032732
  Medicare reassignment Care Compare group
• Datnguyen MD Inc

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1215977723
  Medicare reassignment Care Compare group
• Carbon Medical Center Multispecialty Group Inc

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1609678226
  Medicare reassignment

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1487381059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR STE 229",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423026",
            "telephone_number": "858-342-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR STE 229",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423026",
            "telephone_number": "858-342-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RO",
        "first_name": "BRANDON",
        "middle_name": "CHANG HWUN",
        "credential": "MSN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-04",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95029635",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "95207609",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irenda Rios
• Gemma Celeste Ripperton, NP
• Mary Rivera
• Emily Shozaki Rizo, NP
• RL Speech Therapy, Apc (RL Therapy Group)
• Shelby Elizabeth Robalin, DPT
• Robert a Brenner (Robert A Brenner, MD)
• Robert Afra MD a Professional Corporation (Orthopedic Surgery San Diego)
• Robert B. Eisenberg, M.D., Inc.,
• Robert W. Foster, MD, a Medical Corporation

• Psychiatric/Mental Health Nurse Practitioner in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.