Individual provider Active NPI

Brandon August Cole

  • Psychiatric/Mental Health Nurse Practitioner
  • Chula Vista, CA
National Provider Identifier
1518690205
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95021860 Issued in CA
Practice address
765 3Rd Ave Ste 100
Chula Vista, CA 91910-5842
Phone
(888) 683-3860
NPI assigned
Jul 8, 2022
Last updated
Jul 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95021860 CA Primary

Addresses

Primary practice location

765 3Rd Ave Ste 100
Chula Vista, CA 91910-5842

Mailing address

5555 Grossmont Center Dr
La Mesa, CA 91942-3019
Phone (949) 230-4065

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220926001331 CA Practitioner - Nurse Practitioner 4688050891 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brian P Miller Medical Doctor IncGroup PAC ID 4981049046, 8 clinicians
Kab Medical Group IncGroup PAC ID 7719211358, 15 clinicians

Practice addresses (Care Compare)

5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (858) 939-4393

765 3Rd Ave
Suite 100
Chula Vista, CA 91910-5842
Phone (858) 925-6137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95021860CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brian P. Miller, M.D., a Professional Corporation Psychiatry CurrentSince Aug 1, 2022 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Jun 28, 2023 Accepting new patients
Brian P. Miller Medical Doctor Inc. Psychiatry CurrentSince Jan 1, 2024 Accepting new patients
Kab Medical Group Inc Psychiatry CurrentSince Feb 1, 2025 Accepting new patients
Memory Check Psychological Services, a Professional Corporation Psychiatry CurrentSince Mar 1, 2024 Accepting new patients
Well Coast Psychiatric Inc. a Nursing Corp Psychiatry PastSince May 1, 2024 Accepting new patients

Locations

5838 Edison Pl
Ste 100
Carlsbad, CA 92008
Phone (760) 300-3664

765 Third Ave
Ste 100
Chula Vista, CA 91910
Phone (619) 765-2684

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

348 Iris Dr
Salinas, CA 93906
Phone (831) 449-5496

10717 Sorrento Valley Rd
Ste 210
San Diego, CA 92121
Phone (858) 925-6137

7850 Vista Hill Ave
San Diego, CA 92123
Phone (858) 836-8434

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

7447 Sepulveda Blvd
Van Nuys, CA 91405
Phone (818) 787-3400

1968 Via Ctr
Ste B
Vista, CA 92081
Phone (760) 691-2370

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1518690205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 GROSSMONT CENTER DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423019",
            "telephone_number": "949-230-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 3RD AVE STE 100",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105842",
            "telephone_number": "888-683-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "BRANDON",
        "middle_name": "AUGUST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-08",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95021860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.