Individual provider Active NPI

Paula Brinkley, MD

  • Pediatrics Physician
  • Dublin, CA
National Provider Identifier
1508027681
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C57506 Issued in CA
Practice address
11875 Dublin Blvd
Suite B 125
Dublin, CA 94568-2843
Phone
(925) 587-2505
Fax
(925) 587-2511
NPI assigned
Jun 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C57506 CA Primary

Addresses

Primary practice location

11875 Dublin Blvd
Suite B 125
Dublin, CA 94568-2843

Mailing address

3100 Telegraph Ave
2ND Floor
Oakland, CA 94609-3210
Phone (510) 452-5231

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
I20130417000430 CA Practitioner - Pediatric Medicine 7719123793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Tulane University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LPCH Medical Group Div of LucileGroup PAC ID 0840298543, 332 clinicians

Practice addresses (Care Compare)

725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 498-7200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C57506CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LPCH Medical Group Div of Lucile Pediatrics CurrentSince Feb 27, 2013 Accepting new patients
Bayside Medical Group, Inc Pediatrics Past Accepting new patients

Locations

2915 Telegraph Ave
Ste 200
Berkeley, CA 94705
Phone (510) 647-0893

3100 Telegraph Ave
Fl 2
Oakland, CA 94609
Phone (510) 452-5231

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

2160 Appian Way
Ste 100
Pinole, CA 94564
Phone (510) 724-8300

Interoperability endpoints

  • Direct secure messaging: pbrinkley160169@hisp.ehr.sutterhealth.org

Organizations & group practices 2

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": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1508027681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 TELEGRAPH AVE",
            "address_2": "2ND FLOOR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093210",
            "telephone_number": "510-452-5231",
            "fax_number": "510-899-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11875 DUBLIN BLVD",
            "address_2": "SUITE B 125",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682843",
            "telephone_number": "925-587-2505",
            "fax_number": "925-587-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKLEY",
        "first_name": "PAULA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C57506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

Verify at the official NPI Registry.