Individual provider Active NPI

Brandon Ramsey, DNP, FNP-C

  • Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1720788326
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95024477 Issued in CA
Practice address
4499 Ohio St Apt 159
San Diego, CA 92116-4593
Phone
(712) 790-7026
NPI assigned
Mar 3, 2023
Last updated
Dec 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95024477 CA Primary

Addresses

Primary practice location

4499 Ohio St Apt 159
San Diego, CA 92116-4593

Mailing address

4499 Ohio St Apt 159
San Diego, CA 92116-4593
Phone (712) 790-7026

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20251009001789 NV Practitioner - Nurse Practitioner 9739686262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2121 E Flamingo Rd
Las Vegas, NV 89119-5124

4499 Ohio St Apt
Suite 159
San Diego, CA 92116-4593

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95024477CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heal and Glow Wellness LLC Nurse Practitioner CurrentSince Aug 1, 2025 Accepting new patients

Locations

2121 E Flamingo Rd
Ste 202
Las Vegas, NV 89119
Phone (702) 369-0004

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1720788326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 OHIO ST APT 159",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164593",
            "telephone_number": "712-790-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 OHIO ST APT 159",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164593",
            "telephone_number": "712-790-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMSEY",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95024477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.