Individual provider Active NPI

Brianna Thompson

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Monica, CA
National Provider Identifier
1629621032
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95026900 Issued in CA
Practice address
2001 Wilshire Blvd Ste 320
Santa Monica, CA 90403-5683
Phone
(855) 427-2778
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95026900 CA Primary

Addresses

Primary practice location

2001 Wilshire Blvd Ste 320
Santa Monica, CA 90403-5683

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954
Phone (916) 576-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210301001865 NY Practitioner - Nurse Practitioner 5698181519 Reassigns benefits to 2 organizations
I20240923004230 CA Practitioner - Nurse Practitioner 5698181519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2001 Wilshire Blvd
Suite 320
Santa Monica, CA 90403-5683
Phone (855) 501-1004

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mark David Levine, MD Burlingame PC CurrentSince Aug 5, 2024 Accepting new patients
Mark David Levine M.D. Professional Corporation Psychiatric/Mental Health CurrentSince Aug 5, 2024 Accepting new patients
Ryan-Chelsea Clinton Community Health Center CurrentSince Mar 14, 2022 Accepting new patients
Institute for Community Living , Inc. CurrentSince Nov 27, 2020 Accepting new patients

Locations

4553 Glencoe Ave
Ste 315
Marina del Rey, CA 90292

3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898

2001 Wilshire Blvd
Ste 320
Santa Monica, CA 90403
Phone (310) 566-2006

484 Rockaway Ave
Brooklyn, NY 11212
Phone (718) 290-8100

2581 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 495-6700

645 10th Ave
New York, NY 10036
Phone (212) 265-4500

125 Broad St
Fl 3
New York, NY 10004
Phone (510) 857-3927

110 W 97th St
New York, NY 10025
Phone (212) 316-7906

Organizations & group practices 4

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": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1629621032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954",
            "telephone_number": "916-576-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WILSHIRE BLVD STE 320",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035683",
            "telephone_number": "855-427-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "BRIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95026900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.