Individual provider Active NPI

Katherine Rachel Brouwer

  • Nurse Practitioner
  • Bell Gardens, CA
National Provider Identifier
1558016709
Registry record updated May 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95020865 Issued in CA
Practice address
6501 Garfield Ave
Bell Gardens, CA 90201-1805
Phone
(562) 927-6974
NPI assigned
Feb 16, 2022
Last updated
May 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95020865 CA Primary

Addresses

Primary practice location

6501 Garfield Ave
Bell Gardens, CA 90201-1805

Mailing address

6501 Garfield Ave
Bell Gardens, CA 90201-1805

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
I20230123000673 CA Practitioner - Nurse Practitioner 8527439900 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95020865CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pair Team Medical Group of California PC CurrentSince Feb 16, 2026 Accepting new patients
Pair Team Medical Group, P.a. CurrentSince Feb 16, 2026 Accepting new patients

Locations

95 3rd St
San Francisco, CA 94103
Phone (414) 640-9090

Organizations & group practices 2

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": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651968000000",
    "number": "1558016709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 GARFIELD AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902011805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 GARFIELD AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902011805",
            "telephone_number": "562-927-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUWER",
        "first_name": "KATHERINE",
        "middle_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-05-08",
        "certification_date": "2022-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95020865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bell Gardens, CA

Sources for this page

Verify at the official NPI Registry.