Active NPI
L E Brand, MD Corporation
- Surgery Physician
- Camarillo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A126474
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lisa Elaine Brand, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104178193 | Other | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgery Physician
- Camarillo, CA
- NPI 1104178193
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.