Active NPI
Nigel S. Brandstater, M.D.
- Family Medicine Physician
- Vallejo, CA
National Provider Identifier
1649331372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G60336
- Practice address
- 100 Hospital Drive
Suite 200
Vallejo, CA 94589 - Phone
- (707) 427-4900
- Fax
- (707) 551-3617
- NPI assigned
- Dec 13, 2006
- Last updated
- Jan 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G60336 | CA | Primary |
Addresses
Primary practice location
100 Hospital Drive
Suite 200
Vallejo, CA 94589
Mailing address
P.O. Box 255228
Sacramento, CA 95816
Phone (800) 470-0071
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60336 | CA | MD | Mental Health Counselor |
| G60336 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515542400000",
"number": "1649331372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 255228",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95816",
"telephone_number": "800-470-0071",
"fax_number": "530-751-1237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOSPITAL DRIVE",
"address_2": "SUITE 200",
"city": "VALLEJO",
"state": "CA",
"postal_code": "94589",
"telephone_number": "707-427-4900",
"fax_number": "707-551-3617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDSTATER",
"first_name": "NIGEL",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2018-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G60336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.