Active NPI
Korinah Rebustes Brazil, FNP-C, MSN, MBA
- Family Nurse Practitioner
- Torrance, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95027853
- 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
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 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 ApmcIzuchukwu Okpara MD Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95027853 | CA | MD | Family Nurse Practitioner |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Izuchukwu Okpara MD Inc | Current | Accepting new patients | |
| Rehan Muttalib MD Inc Apmc | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.