Organization Active NPI

L E Brand, MD Corporation

  • Surgery Physician
  • Camarillo, CA
National Provider Identifier
1679083356
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A126474 Issued in CA
Legal business name
L E BRAND, MD CORPORATION
Practice address
4542 Las Posas Rd Ste D
Camarillo, CA 93010-2521
Phone
(805) 322-8490
Fax
(805) 586-8066
NPI assigned
Oct 6, 2017
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Dr. Lisa Elaine Brand, MDNPI 1104178193
Title
General Surgeon
Phone
(805) 322-8490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A126474 CA Primary

Addresses

Primary practice location

4542 Las Posas Rd Ste D
Camarillo, CA 93010-2521

Mailing address

5235 Mission Oaks Blvd # 301
Camarillo, CA 93012-5400

Other practice location 1

2438 N Ponderosa Dr Ste C207
Camarillo, CA 93010-2374
Phone (805) 484-3513

Other identifiers 1

IdentifierTypeStateIssuer
1104178193OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230217002069 CA Part B Supplier - Clinic/Group Practice 0840662995 Receives reassigned benefits from 1 practitioner
Practice locations: Camarillo, CA

National Provider Directory

National Provider Directory

Locations

4542 Las Posas Rd
Ste D
Camarillo, CA 93010
Phone (805) 322-8490

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1679083356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5235 MISSION OAKS BLVD # 301",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4542 LAS POSAS RD STE D",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102521",
            "telephone_number": "805-322-8490",
            "fax_number": "805-586-8066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2438 N Ponderosa Dr Ste C207",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930102374",
            "country_code": "US",
            "telephone_number": "805-484-3513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "L E BRAND, MD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "BRAND",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "GENERAL SURGEON",
        "authorized_official_telephone_number": "805-322-8490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A126474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104178193",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.