Active NPI
Karen Michelle Brown, PA-C
- Specialist
- Oceanside, CA
National Provider Identifier
1508809666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PA15915
- Practice address
- 3142 Vista Way
Suite 207
Oceanside, CA 92056-3619 - Phone
- (760) 502-0206
- Fax
- (858) 866-0760
- NPI assigned
- Jun 14, 2006
- Last updated
- Jun 14, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PA15915 | CA | Primary |
Addresses
Primary practice location
3142 Vista Way
Suite 207
Oceanside, CA 92056-3619
Mailing address
3142 Vista Way
Suite 207
Oceanside, CA 92056-3619
Phone (760) 502-0206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15915 | CA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Health System | Past | Accepting new patients |
Interoperability endpoints
- karenmbrown@jmmm-ca.direct.office.nextgen.com
Organizations & group practices 1
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": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1508809666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3142 VISTA WAY",
"address_2": "SUITE 207",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920563619",
"telephone_number": "760-502-0206",
"fax_number": "858-866-0760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3142 VISTA WAY",
"address_2": "SUITE 207",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920563619",
"telephone_number": "760-502-0206",
"fax_number": "858-866-0760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KAREN",
"middle_name": "MICHELLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "PA15915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.