Brandon Kevin Pardosi, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

61943 Issued in CA

Practice address

1150 N Indian Canyon Dr # Ca92262
Palm Springs, CA 92262-4872

Phone

(909) 809-7148

NPI assigned

Aug 23, 2022

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Cep America - Neurology PC

  • Neurology Physician
  • Santa Barbara, CA
  • NPI 1225569346
  Medicare reassignment
• Inland Empire Brain Experts Corp

  • Clinical Neurophysiology Physician
  • Riverside, CA
  • NPI 1386454379
  Medicare reassignment
• Cep America - Neurology PC

  • Neurology Physician
  • Temecula, CA
  • NPI 1033618202
  NPD
• Cep America - Neurology PC

  • Neurology Physician
  • Terre Haute, IN
  • NPI 1124843586
  NPD

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1689393761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N INDIAN CANYON DR # CA92262",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N INDIAN CANYON DR # CA92262",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624872",
            "telephone_number": "909-809-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDOSI",
        "first_name": "BRANDON",
        "middle_name": "KEVIN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "61943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palms Personal Home Care
• Palms Personal Home Care
• Xin Pan
• Matthew Sproul Paparian, DO
• Bret Hart Papas, PT
• Jane Di Angelo Pardy
• Heesung Kevin Park, MD
• James M. Park, MD
• Matthew Allen Parke, PMHNP
• Daniel Richard Parker, PH.D.

• Medical Physician Assistant in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.