Brenda Bollinger, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

23660 Issued in CA

Practice address

3110 W Lake Center Dr
Santa Ana, CA 92704-6917

Phone

(714) 513-6630

NPI assigned

Oct 14, 2013

Last updated

Sep 12, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: brenda.bollinger.1@22164.direct.athenahealth.com
• Direct secure messaging: brenda.bollinger.p33@direct.monarchhealthcare.nextgenshare.com
• Direct secure messaging: brenda.bollinger.p7@direct.monarchhealthcare.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Salus Home Health and Hospice, Inc.

  • Home Health Agency
  • Irvine, CA
  • NPI 1659543957
  Medicare reassignment

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442016000000",
    "number": "1639507411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 W LAKE CENTER DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046917",
            "telephone_number": "714-513-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 W LAKE CENTER DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046917",
            "telephone_number": "714-513-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLINGER",
        "first_name": "BRENDA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-14",
        "last_updated": "2015-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "809870",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "23660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Alexander Bohon
• Adolfo A Bojorquez, LMFT
• Bojun Park DDS Inc
• Jacob Boland
• Tacosha Bolanos
• Kim Bonaccorso
• Brandon Bonachea
• Alexander M Bonakdar, O.D
• Cesar Bondad, R.N.
• Sydney Rose Bondar, MS

• Adult Health Nurse Practitioner in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.