Active NPI
Jonathan L Brand, MD
- Psychiatry Physician
- Lynwood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G50045
- Practice address
- 3630 E Imperial Hwy
Lynwood, CA 90262-2609 - Phone
- (310) 900-8662
- Fax
- (424) 400-7749
- NPI assigned
- Oct 13, 2005
- Last updated
- Dec 13, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G50045 | CA | Primary |
Addresses
Primary practice location
3630 E Imperial Hwy
Lynwood, CA 90262-2609
Mailing address
PO Box 4570
Palos Verdes Peninsula, CA 90274-9607
Phone (424) 400-7748
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120523 | Other | CA | LA CO MENTAL HEALTH |
| 00G500451 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Utah School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
23700 Camino del Sol
Torrance, CA 90505-5017
Phone (310) 530-1151
2600 Redondo Ave
Suite 500
Long Beach, CA 90806-2325
Phone (562) 304-1740
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G50045 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central City Community Health Center Inc | Current | Accepting new patients | |
| Central City Community Health Center Inc | Current | Accepting new patients | |
| Kamal Bijanpour Inc | Psychiatry | Past | Accepting new patients |
Locations
5970 S Central Ave
Los Angeles, CA 90001
Phone (213) 234-3280
2019 Saturn St
Monterey Park, CA 91755
Phone (323) 724-0019
Organizations & group practices 5
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.
-
- Psychiatry Physician
- Long Beach, CA
- NPI 1184401861
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1235283094
-
- Addiction Psychiatry Physician
- Lynwood, CA
- NPI 1659641702
-
- Federally Qualified Health Center (FQHC)
- Upland, CA
- NPI 1174996318
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1962442012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1548259401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4570",
"city": "PALOS VERDES PENINSULA",
"state": "CA",
"postal_code": "902749607",
"telephone_number": "424-400-7748",
"fax_number": "424-400-7749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3630 E IMPERIAL HWY",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902622609",
"telephone_number": "310-900-8662",
"fax_number": "424-400-7749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAND",
"first_name": "JONATHAN",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G50045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA CO MENTAL HEALTH",
"identifier": "120523",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G500451",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.