Active NPI
Brandon Libby, MD
- Emergency Medicine Physician
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- C166621
- Practice address
- 100 W California Blvd
Pasadena, CA 91105-3010 - Phone
- (626) 397-5000
- NPI assigned
- Mar 24, 2010
- Last updated
- Mar 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians of San Gabriel Valley | Emergency Medicine | Current | Accepting new patients |
| Arcadia Ear Nose and Throat Specialists | Current | Accepting new patients | |
| Andy Shen, M.D., Inc. | Emergency Medicine | Current | Accepting new patients |
| Exer Medical Corporation | Current | Accepting new patients | |
| HMH Emergency Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Mainehealth | Current | 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
- 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.
-
dba Exer Urgent Care
- Urgent Care Clinic/Center
- Calabasas, CA
- NPI 1588901532
-
- Emergency Medicine Physician
- Pasadena, CA
- NPI 1659383024
-
dba Shen Medical Group
- Emergency Medicine Physician
- Alhambra, CA
- NPI 1457427221
-
- Emergency Medicine Physician
- San Gabriel, CA
- NPI 1366021834
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
dba Arcadia ENT
- Otolaryngology Physician
- Arcadia, CA
- NPI 1447132014
-
- Rehabilitation Hospital Unit
- Bangor, ME
- NPI 1780674689
-
dba Huntington Memorial Hospital Pharmacy
- General Acute Care Hospital
- Pasadena, CA
- NPI 1467672667
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Huntington Hospital
- General Acute Care Hospital
- Pasadena, CA
- NPI 1407828429
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.