Brianna Woo N.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95028463 Issued in CA

Practice address

4476 Tweedy Blvd Ste B
South Gate, CA 90280-6359

Phone

(323) 268-9191

NPI assigned

Nov 23, 2024

Last updated

Nov 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Via Care Community Health CenterGroup PAC ID 1052550365, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Via Care Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1497001226
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1732320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1669298766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6935 ALDERWOOD AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211173",
            "telephone_number": "714-600-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4476 TWEEDY BLVD STE B",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902806359",
            "telephone_number": "323-268-9191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4755 E Cesar E Chavez Ave",
            "address_purpose": "LOCATION",
            "city": "East Los Angeles",
            "state": "CA",
            "postal_code": "900221267",
            "country_code": "US",
            "telephone_number": "323-268-9191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5015 Whittier Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900223116",
            "country_code": "US",
            "telephone_number": "323-268-9191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S Woods Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900221976",
            "country_code": "US",
            "telephone_number": "323-269-2623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOO N.",
        "first_name": "BRIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-23",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Geoffrey Widdifield, DMD
• Sabina Wiederkehr, DDS
• Quennisha Williamson
• Lindsey Wolf
• Wonjoon Lee, DDS, Inc (House Dental, South Gate)
• Peter E Wu, M.D.
• Xtreme Medical Supply
• Malvin Yan, D.O.
• Yanagihara & Sons, Inc
• Anthony Yanagihara, D.C.

• Family Nurse Practitioner in South Gate, CA
• Providers in South Gate, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; 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.

Verify at the official NPI Registry.