Individual provider Active NPI

Darrel James Brown, FNPC

  • Family Nurse Practitioner
  • Rio Vista, CA
National Provider Identifier
1568469922
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
365877 Issued in CA
Practice address
500 Main St
Rio Vista, CA 94571-1619
Phone
(707) 374-3142
Fax
(707) 374-3148
NPI assigned
Jun 30, 2005
Last updated
Sep 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 365877 CA Primary

Addresses

Primary practice location

500 Main St
Rio Vista, CA 94571-1619

Mailing address

241 Saint Gertrude Ave
Rio Vista, CA 94571-1924
Phone (408) 489-3638

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
I20050615000952 CA Practitioner - Nurse Practitioner 2365486883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

171 Butcher Rd
A
Vacaville, CA 95687-5656
Phone (707) 474-4433

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
365877CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Vista Holistic Health Center CurrentSince Jun 21, 2022 Accepting new patients
First Choice Medical and Surgical Associates Inc CurrentSince Jul 25, 2018 Accepting new patients

Locations

500 Main St
Rio Vista, CA 94571
Phone (707) 374-3142

171 Butcher Rd
#A
Vacaville, CA 95687
Phone (707) 423-2510

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1568469922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 SAINT GERTRUDE AVE",
            "city": "RIO VISTA",
            "state": "CA",
            "postal_code": "945711924",
            "telephone_number": "408-489-3638",
            "fax_number": "707-374-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MAIN ST",
            "city": "RIO VISTA",
            "state": "CA",
            "postal_code": "945711619",
            "telephone_number": "707-374-3142",
            "fax_number": "707-374-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DARREL",
        "middle_name": "JAMES",
        "credential": "FNPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "365877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Vista, CA

Sources for this page

Verify at the official NPI Registry.