Brent R. Palman, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA16774 Issued in CA

Practice address

1300 Avenida Vista Hermosa
Suite 240
San Clemente, CA 92673-6315

Phone

(949) 489-4290

Fax

(949) 489-4293

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Lucas Bingham M.D., Inc.

  • Dermatology Physician
  • Ladera Ranch, CA
  • NPI 1508291436
  Medicare reassignment
• Dignity Health Medical Foundation

  • Multi-Specialty Clinic/Center
  • Highland, CA
  • NPI 1053653873
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1508953134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CORPORATE DR",
            "address_2": "STE 100",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942107",
            "telephone_number": "949-388-8022",
            "fax_number": "949-388-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 AVENIDA VISTA HERMOSA",
            "address_2": "SUITE 240",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736315",
            "telephone_number": "949-489-4290",
            "fax_number": "949-489-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMAN",
        "first_name": "BRENT",
        "middle_name": "R.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA16774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00127807",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pacific Sleep Labs, Inc.
• Pacificoast Ambulatory Surgicenter, LLC.
• Khrystianne Morita Padua, ATC
• Maria Page, APCC
• Painmd Medical Associates Inc
• Luis Paniagua, DDS
• Kiersten Papst
• Parag Medical, Inc
• Amit Parag, MD
• Toral Parag, MD

• Medical Physician Assistant in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.