Active NPI
Candida M Brown, M.D.
- Specialist
- Pleasant Hill, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A046000
- Practice address
- 400 Taylor Blvd
Suite 306
Pleasant Hill, CA 94523-2147 - Phone
- (925) 691-9688
- Fax
- (925) 691-9820
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A046000 | CA | Primary |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | A046000 | CA |
Addresses
Primary practice location
400 Taylor Blvd
Suite 306
Pleasant Hill, CA 94523-2147
Mailing address
1804 Embarcadero Rd
Ste 100
Palo Alto, CA 94303-3341
Phone (925) 691-9688
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10943621 | Other | CAQH | |
| 1649375445 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080110000630 | CA | Practitioner - Pediatric Medicine | 8224118617 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Baylor College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- LPCH Medical Group Div of Lucile
Practice addresses (Care Compare)
725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 498-7200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46000 | CA | MD | General Practice Dentistry |
| A046000 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LPCH Medical Group Div of Lucile | Current | Accepting new patients | |
| Lucile Salter Packard Children'S Hospital at Stanford | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| John Muir Health | Past | Accepting new patients | |
| San Ramon Regional Medical Center, LLC | Past | Accepting new patients | |
| UCSF Health Medical Foundation | Past | Accepting new patients | |
| Alta Bates Summit Medical Center | Past | Accepting new patients | |
| John Muir Health | Past | Accepting new patients |
Locations
2400 Balfour Rd
Ste 230
Brentwood, CA 94513
Phone (925) 324-7404
747 52nd St
Oakland, CA 94609
Phone (510) 428-3070
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
400 Taylor Blvd
Ste 306
Pleasant Hill, CA 94523
Phone (925) 588-3592
Organizations & group practices 8
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.
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Oakland, CA
- NPI 1043358542
-
- Rehabilitation Hospital Unit
- Walnut Creek, CA
- NPI 1447269303
-
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
-
- Children's Hospital
- Palo Alto, CA
- NPI 1467442749
-
- General Acute Care Hospital
- San Ramon, CA
- NPI 1932131489
-
- Rehabilitation Hospital Unit
- Oakland, CA
- NPI 1194171371
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1922124866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1649375445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 EMBARCADERO RD",
"address_2": "STE 100",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943033341",
"telephone_number": "925-691-9688",
"fax_number": "925-691-9820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 TAYLOR BLVD",
"address_2": "SUITE 306",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945232147",
"telephone_number": "925-691-9688",
"fax_number": "925-691-9820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "CANDIDA",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A046000",
"primary": true
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "CA",
"license": "A046000",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10943621",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649375445",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.