Individual provider Active NPI

Jessica Ann Brooks, MD

  • Psychiatry Physician
  • Seal Beach, CA
National Provider Identifier
1558599779
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A117029 Issued in CA
Practice address
610 Pacific Coast Hwy Ste 201
Seal Beach, CA 90740-6650
Phone
(562) 493-6799
NPI assigned
Jun 25, 2009
Last updated
Jun 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A117029 CA Primary

Addresses

Primary practice location

610 Pacific Coast Hwy Ste 201
Seal Beach, CA 90740-6650

Mailing address

5900 Sepulveda Blvd Ste 370
Sherman Oaks, CA 91411-2646
Phone (818) 501-4700

Other practice location 1

5900 Sepulveda Blvd Ste 370
Sherman Oaks, CA 91411-2646
Phone (818) 501-4700

Other names 1

  • Jessica Ann Pagano Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A117029CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Pacific Psychological Network, Inc PastSince Jul 3, 2022 Accepting new patients

Organizations & group practices 1

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1558599779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 SEPULVEDA BLVD STE 370",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914112646",
            "telephone_number": "818-501-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PACIFIC COAST HWY STE 201",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406650",
            "telephone_number": "562-493-6799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Sepulveda Blvd Ste 370",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914112646",
            "country_code": "US",
            "telephone_number": "818-501-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A117029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PAGANO",
            "middle_name": "ANN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seal Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.