Active NPI
Janet Elaine Brown, FNPC, RNFA
- Family Nurse Practitioner
- San Diego, CA
National Provider Identifier
1679587299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN 404382
- Practice address
- 3350 La Jolla Village Dr
MC- 112a
San Diego, CA 92161-0002 - Phone
- (858) 642-3093
- Fax
- (858) 552-4376
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- No
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 | RN 404382 | CA | Primary |
Addresses
Primary practice location
3350 La Jolla Village Dr
MC- 112a
San Diego, CA 92161-0002
Mailing address
3314 Dorado PL
Carlsbad, CA 92009-7706
Phone (760) 942-9074
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 364SF0001X | Medicaid | CA | |
| 364SF0001X | Other | CA | FAMILY NURSE PRACTITIONER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 404382 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1679587299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3314 DORADO PL",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920097706",
"telephone_number": "760-942-9074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 LA JOLLA VILLAGE DR",
"address_2": "MC- 112A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921610002",
"telephone_number": "858-642-3093",
"fax_number": "858-552-4376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JANET",
"middle_name": "ELAINE",
"credential": "FNPC, RNFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "RN 404382",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "364SF0001X",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY NURSE PRACTITIONER",
"identifier": "364SF0001X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.