Individual provider Active NPI

Brittany Raffaniello

  • Family Nurse Practitioner
  • Simi Valley, CA
National Provider Identifier
1609763358
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95033602 Issued in CA
Practice address
729 Coldbrook PL
Simi Valley, CA 93065-5532
Phone
(805) 210-0851
NPI assigned
Jun 23, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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 95033602 CA Primary

Addresses

Primary practice location

729 Coldbrook PL
Simi Valley, CA 93065-5532

Mailing address

729 Coldbrook PL
Simi Valley, CA 93065-5532
Phone (805) 210-0851

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95033602CAMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1609763358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 COLDBROOK PL",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930655532",
            "telephone_number": "805-210-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 COLDBROOK PL",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930655532",
            "telephone_number": "805-210-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFANIELLO",
        "first_name": "BRITTANY",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95033602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.