Individual provider Active NPI

Anna Cecelia Brazil, DPT

  • Physical Therapist
  • Yorba Linda, CA
National Provider Identifier
1609655802
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
304930 Issued in CA
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

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20231107001414 CA Practitioner - Physical Therapist in Private Practice 3274980685 Reassigns benefits to 2 organizations

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
Salinas Physical Therapy Sports Medicine PCGroup PAC ID 3274529326, 7 clinicians

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

LicenseStateTypeSpecialty
304930CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Salinas Physical Therapy Sports Medicine PC CurrentSince Oct 23, 2023 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince May 22, 2024 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.

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.

Verify at the official NPI Registry.