Active NPI
Anna Cecelia Brazil, DPT
- Physical Therapist
- Yorba Linda, CA
National Provider Identifier
1609655802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 304930
- Practice address
- 23655 Via del Rio Ste C
Yorba Linda, CA 92887-2718 - Phone
- (714) 695-1566
- NPI assigned
- Sep 26, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 304930 | CA | Primary |
Addresses
Primary practice location
23655 Via del Rio Ste C
Yorba Linda, CA 92887-2718
Mailing address
307 Eagle Dr
Placentia, CA 92870-4441
Phone (707) 272-1004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23655 Via del Rio
Suite C
Yorba Linda, CA 92887-2718
Phone (714) 695-1566
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304930 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salinas Physical Therapy Sports Medicine PC | Current | Accepting new patients | |
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
23655 Via del Rio
Ste C
Yorba Linda, CA 92887
Phone 7146951566 ext. 71469
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Yorba Linda, CA
- NPI 1689706814
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1609655802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 EAGLE DR",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928704441",
"telephone_number": "707-272-1004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23655 VIA DEL RIO STE C",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928872718",
"telephone_number": "714-695-1566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAZIL",
"first_name": "ANNA",
"middle_name": "CECELIA",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-26",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "304930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yorba Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.