Individual provider Active NPI

Korinah Rebustes Brazil, FNP-C, MSN, MBA

  • Family Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1659130664
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95027853 Issued in CA
Practice address
23639 Hawthorne Blvd Ste 102
Torrance, CA 90505-5985
Phone
(310) 373-9980
NPI assigned
Mar 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95027853 CA Primary

Addresses

Primary practice location

23639 Hawthorne Blvd Ste 102
Torrance, CA 90505-5985

Mailing address

23639 Hawthorne Blvd Ste 102
Torrance, CA 90505-5985
Phone (310) 373-9980

Other names 1

  • Korinah Alegro Rebustes Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240726001695 CA Practitioner - Nurse Practitioner 7315483237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehan Muttalib MD Inc Apmc 2 clinicians
Izuchukwu Okpara MD Inc 45 clinicians

Practice addresses (Care Compare)

23639 Hawthorne Blvd
Suite 102
Torrance, CA 90505-5985
Phone (310) 373-9980

28212 Kelly Johnson Pkwy
Suite 200
Valencia, CA 91355-5090
Phone (213) 228-3538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95027853CAMDFamily Nurse Practitioner

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Izuchukwu Okpara MD Inc CurrentSince Jul 12, 2024 Accepting new patients
Rehan Muttalib MD Inc Apmc CurrentSince Aug 1, 2025 Accepting new patients

Locations

5430 Arlington Ave
Riverside, CA 92504
Phone (714) 458-4617

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

23639 Hawthorne Blvd
Ste 102
Torrance, CA 90505
Phone (310) 373-9980

28212 Kelly Johnson Pkwy
Ste 200
Valencia, CA 91355
Phone (661) 388-5945

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1659130664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23639 HAWTHORNE BLVD STE 102",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055985",
            "telephone_number": "310-373-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23639 HAWTHORNE BLVD STE 102",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055985",
            "telephone_number": "310-373-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZIL",
        "first_name": "KORINAH",
        "middle_name": "REBUSTES",
        "credential": "FNP-C, MSN, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KORINAH",
            "last_name": "REBUSTES",
            "middle_name": "ALEGRO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.