NPIMap

Organization Active NPI

Brown-Hill Medical Group, Inc.

  • Urgent Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1720656572
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
BROWN-HILL MEDICAL GROUP, INC.
Practice address
5311 West Centinela Ave
Los Angeles, CA 90045
Phone
(310) 625-9898
NPI assigned
Jun 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Dr. Eric Brown, MDNPI 1619954633
Title
Medical Director
Phone
(704) 609-6017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0004X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

5311 West Centinela Ave
Los Angeles, CA 90045

Mailing address

8939 S Sepulveda Blvd # 110-113
Los Angeles, CA 90045-3631
Phone (310) 625-9898

Other names 1

  • Ladera Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221017001452 CA Part B Supplier - Clinic/Group Practice 3072989086 Receives reassigned benefits from 6 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory
Tax ID family
Brown-Hill Medical Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

148 N Grand Ave
Glendora, CA 91741
Phone (626) 594-0478

8939 S Sepulveda Blvd
#110113
Los Angeles, CA 90045

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1720656572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8939 S SEPULVEDA BLVD # 110-113",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453631",
            "telephone_number": "310-625-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 WEST CENTINELA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90045",
            "telephone_number": "310-625-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN-HILL MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "704-609-6017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ladera Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ladera Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.