Individual provider Active NPI

Anh Ngoc Brewer, D.O.

  • Family Medicine Physician
  • Wildomar, CA
National Provider Identifier
1487981569
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A11688 Issued in CA
Practice address
36450 Inland Valley Dr
Wildomar, CA 92595-9583
Phone
(951) 600-3465
NPI assigned
Nov 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A11688 CA Primary

Addresses

Primary practice location

36450 Inland Valley Dr
Wildomar, CA 92595-9583

Mailing address

36450 Inland Valley Dr
Wildomar, CA 92595-9583
Phone (951) 600-3465

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120111000740 CA Practitioner - Family Practice 5597932731 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rancho Family Medical Group IncGroup PAC ID 6305741240, 112 clinicians

Practice addresses (Care Compare)

23823 Clinton Keith Rd
Suite 102
Wildomar, CA 92595-7734
Phone (951) 676-4193

263 Church Ave
Chula Vista, CA 91910-2728
Phone (619) 422-1324

28780 Single Oak Dr
Temecula, CA 92590-5528
Phone (951) 676-4193

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
11688CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rancho Family Medical Group, Inc. Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
United Medical Doctors CurrentSince Oct 1, 2019 Accepting new patients
United Medical Doctors CurrentSince Oct 1, 2019 Accepting new patients
UC San Diego Health - Rancho Family Medical Group Past Accepting new patients

Locations

263 Church Ave
Chula Vista, CA 91910
Phone (619) 422-1324

2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191

521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560

27722 Clinton Keith Rd
Ste C
Murrieta, CA 92562

27722 Clinton Keith Rd
Murrieta, CA 92562
Phone (951) 790-0202

27722 Clinton Keith Rd
Ste F
Murrieta, CA 92562
Phone (760) 622-6043

400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398

28780 Single Oak Dr
Ste 160
Temecula, CA 92590
Phone (951) 658-9461

23823 Clinton Keith Rd
Ste 102
Wildomar, CA 92595

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1487981569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36450 INLAND VALLEY DR",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925959583",
            "telephone_number": "951-600-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36450 INLAND VALLEY DR",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925959583",
            "telephone_number": "951-600-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "ANH",
        "middle_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-10",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A11688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildomar, CA

Sources for this page

Verify at the official NPI Registry.