Individual provider Active NPI

Amy Kaldor Bremner, MD

  • Surgery Physician
  • Laguna Hills, CA
National Provider Identifier
1649461120
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A90315 Issued in CA
Practice address
24401 Health Center Drive, Suite 200
Laguna Hills, CA 92653
Phone
(657) 241-9660
Fax
(714) 665-4690
NPI assigned
Aug 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X A90315 CA
Surgery Physician 208600000X A90315 CA Primary

Addresses

Primary practice location

24401 Health Center Drive, Suite 200
Laguna Hills, CA 92653

Mailing address

24401 Health Center Drive, Suite 200
Laguna Hills, CA 92653
Phone (657) 241-9660

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://memorialcare.org/fhir/api/FHIR/R4/ Health Information Exchange (HIE) MemorialCare Medical Foundation
Direct Messaging Address direct@cityofhope.direct-ci.com CITY OF HOPE MEDICAL FOUNDATION

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090805000775 CA Practitioner - General SurgeryPractitioner - Surgical Oncology 4688727886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Georgetown University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorialcare Medical FoundationGroup PAC ID 8729277314, 555 clinicians

Practice addresses (Care Compare)

24401 Calle de la Louisa
Suite 102
Laguna Hills, CA 92653-3624
Phone (657) 241-9660

Hospital & facility affiliations

  • Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603
  • Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
81.15
Promoting interoperability
100
Improvement activities
40
Cost
71.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy44
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A90315CAMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Foundation Surgery CurrentSince Jul 30, 2019 Accepting new patients
Memorialcare Medical Foundation CurrentSince Dec 1, 2021 Accepting new patients
Michael J. Watanabe, M.D., Apc CurrentSince Dec 1, 2021 Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Valley Radiotherapy Associates Medical Group Inc PastSince Aug 1, 2019 Accepting new patients
Bristol Park Medical Group, Inc Past Accepting new patients

Locations

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592

24401 Health Center Dr
Ste 200
Laguna Hills, CA 92653
Phone (657) 241-8788

230 S Main St
Ste 100
Orange, CA 92868
Phone (714) 541-0101

6939 Palm Ct
Riverside, CA 92506
Phone (760) 416-4832

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

44274 George Cushman Ct
Ste 100
Temecula, CA 92592
Phone (951) 252-9300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: abremner181839@direct.llu.edu
  • Direct secure messaging: abremmer720854@direct.memorialcare.org
  • Direct secure messaging: direct@cityofhope.direct-ci.com

Organizations & group practices 12

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1649461120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24401 HEALTH CENTER DRIVE, SUITE 200",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "657-241-9660",
            "fax_number": "714-665-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24401 HEALTH CENTER DRIVE, SUITE 200",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "657-241-9660",
            "fax_number": "714-665-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREMNER",
        "first_name": "AMY",
        "middle_name": "KALDOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "A90315",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A90315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://memorialcare.org/fhir/api/FHIR/R4/",
            "affiliation": "Y",
            "endpointDescription": "MemorialCare FHIR Endpoint",
            "affiliationName": "MemorialCare Medical Foundation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "17360 Brookhurst St",
            "city": "Fountain Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927083720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@cityofhope.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
            "address_1": "1500 Duarte Rd",
            "city": "Duarte",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910103012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.