Individual provider Active NPI

Brandon Fernandez-Comer, RADT-I

  • Addiction (Substance Use Disorder) Counselor
  • North Hollywood, CA
National Provider Identifier
1629734413
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
11027 Burbank Blvd
North Hollywood, CA 91601-2431
Phone
(310) 854-2167
NPI assigned
Nov 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

11027 Burbank Blvd
North Hollywood, CA 91601-2431

Mailing address

11027 Burbank Blvd
North Hollywood, CA 91601-2431
Phone (310) 854-2167

Other practice location 1

2010 Lincoln Park Ave
Los Angeles, CA 90031-3119
Phone (323) 222-1440

Other practice location 2

8330 Lankershim Blvd
North Hollywood, CA 91605-1615
Phone (818) 252-1400

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

Practice roles

OrganizationSpecialtyStatusNew patients
I-Adarp, Inc. Addiction (Substance Use Disorder) Current Accepting new patients
Cri-Help, Inc. Past Accepting new patients
Cri-Help, Inc. Past Accepting new patients

Locations

11027 Burbank Blvd
North Hollywood, CA 91601
Phone (818) 985-8323

8330 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 252-1400

Organizations & group practices 3

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": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1629734413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11027 BURBANK BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012431",
            "telephone_number": "310-854-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11027 BURBANK BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012431",
            "telephone_number": "310-854-2167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 Lincoln Park Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900313119",
            "country_code": "US",
            "telephone_number": "323-222-1440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8330 Lankershim Blvd",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916051615",
            "country_code": "US",
            "telephone_number": "818-252-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ-COMER",
        "first_name": "BRANDON",
        "credential": "RADT-I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.