NPIMap

Individual provider Active NPI

Daniel Brelian, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1700032497
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A109924 Issued in CA
Practice address
711 W College St
Suite 203
Los Angeles, CA 90012-1163
Phone
(213) 830-8960
Fax
(213) 972-0977
NPI assigned
Aug 13, 2008
Last updated
Mar 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 146762 DC
Internal Medicine Physician 207R00000X A109924 CA Primary

Addresses

Primary practice location

711 W College St
Suite 203
Los Angeles, CA 90012-1163

Mailing address

PO Box 11816
Belfast, ME 04915-4009

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151104000953 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 3173833126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

711 W College St
Suite 203
Los Angeles, CA 90012-3177
Phone (213) 830-8960

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy53
Upper gastrointestinal (GI) endoscopy for acid reflux65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A109924CAMDInternal Medicine Physician
146762DCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brelian Medical Inc. Gastroenterology CurrentSince Nov 7, 2017 Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Eladh, LP Past Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients
Barlow Respiratory Hospital Past Accepting new patients
CHHP Holdings II, LLC Past Accepting new patients

Locations

711 W College St
Ste 203
Los Angeles, CA 90012
Phone (213) 830-8960

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: daniel.brelian.1@17067.direct.athenahealth.com

Organizations & group practices 8

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 7

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": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1700032497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11816",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W COLLEGE ST",
            "address_2": "SUITE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121163",
            "telephone_number": "213-830-8960",
            "fax_number": "213-972-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRELIAN",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-13",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "146762",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A109924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.