Paul Lawrance Brown

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

11878 Issued in CA

Practice address

103 W 11TH Street
San Pedro, CA 90731

Phone

(310) 514-4940

NPI assigned

Jun 30, 2021

Last updated

Jun 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• The Beacon House Association of San Pedro

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Pedro, CA
  • NPI 1104573633
  NPD
• The Beacon House Association of San Pedro

  dba Beacon House

  • Substance Abuse Rehabilitation Facility
  • San Pedro, CA
  • NPI 1386197267
  NPD (past)

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1538739644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907330328",
            "telephone_number": "310-514-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W 11TH STREET",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "90731",
            "telephone_number": "310-514-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PAUL",
        "middle_name": "LAWRANCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "11878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Burney, Crna, Professional Nursing Anesthesia, Inc.
• Neyda Brodnansky, F.N.P.
• Alana Brooks
• Eric K Brown, DPT
• Janae Nicole Brown, PT, DPT
• Alida Brscic-Biasi, D.D.S.
• Bruce D. Levine, D.P.M., Professional Corporation (Harbor Foot & Ankle Podiatric Medical Group)
• James Steven Brust, M.D.
• Aiken K Bui, RPH
• Ryan Douglas Bullock, AUD

• Addiction (Substance Use Disorder) Counselor in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.