Individual provider Active NPI

Brandon Libby, MD

  • Emergency Medicine Physician
  • Pasadena, CA
National Provider Identifier
1699099242
Registry record updated Mar 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C166621 Issued in CA
Practice address
100 W California Blvd
Pasadena, CA 91105-3010
Phone
(626) 397-5000
NPI assigned
Mar 24, 2010
Last updated
Mar 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 259077 MA
Emergency Medicine Physician 207P00000X MD20943 ME
Emergency Medicine Physician 207P00000X C166621 CA Primary

Addresses

Primary practice location

100 W California Blvd
Pasadena, CA 91105-3010

Mailing address

2111 S 2ND Ave
Arcadia, CA 91006-4711

Other practice location 1

489 State St
Bangor, ME 04401-6616
Phone (207) 973-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160906001660 ME Practitioner - Emergency Medicine 5698907798 Reassigns benefits to 2 organizations
I20230506000115 CA Practitioner - Emergency Medicine 5698907798 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HMH Emergency Medical Group, Inc.Group PAC ID 7911800826, 56 clinicians
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

Practice addresses (Care Compare)

100 W California Blvd
Pasadena, CA 91105-3010
Phone 6264470296142

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

797 S Fair Oaks Ave
Suite 100
Pasadena, CA 91105-2617
Phone (626) 385-1455

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of San Gabriel Valley Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Arcadia Ear Nose and Throat Specialists CurrentSince Jul 31, 2025 Accepting new patients
Andy Shen, M.D., Inc. Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Exer Medical Corporation CurrentSince Apr 1, 2023 Accepting new patients
HMH Emergency Medical Group, Inc. Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Eastern Maine Medical Center CurrentSince Jun 19, 2016 Accepting new patients
Eastern Maine Medical Center CurrentSince Jun 19, 2016 Accepting new patients
Mainehealth CurrentSince Dec 19, 2017 Accepting new patients
Huntington Memorial Hospital Past Accepting new patients

Locations

100 S Raymond Ave
Alhambra, CA 91801
Phone (626) 457-7938

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

245 Terracina Blvd
Ste 102
Redlands, CA 92373
Phone (909) 406-2671

438 W Las Tunas Dr
San Gabriel, CA 91776
Phone (626) 289-5454

25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020

701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400

489 State St
Bangor, ME 04401
Phone (207) 973-8837

116 Northport Ave
Ste 220
Belfast, ME 04915
Phone (207) 505-4015

118 Northport Ave
Belfast, ME 04915
Phone (207) 338-9345

Interoperability endpoints

  • Direct secure messaging: blibby448644@direct.cshs.org

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709942400000",
    "number": "1699099242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 S 2ND AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910064711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W CALIFORNIA BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053010",
            "telephone_number": "626-397-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "489 State St",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044016616",
            "country_code": "US",
            "telephone_number": "207-973-8000",
            "fax_number": "207-973-5656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIBBY",
        "first_name": "BRANDON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-24",
        "last_updated": "2024-03-09",
        "certification_date": "2024-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "259077",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "MD20943",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C166621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.