Active NPI
Emem E Brown, PA-C
- Physician Assistant
- Gardena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 19245
- Practice address
- 742 West Gardena Blvd
Gardena, CA 90247-3817 - Phone
- (310) 327-1357
- Fax
- (310) 327-5386
- NPI assigned
- Jul 6, 2007
- Last updated
- Jun 26, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 19245 | CA | Primary |
| Medical Physician Assistant | 363AM0700X | PA19245 | CA |
Addresses
Primary practice location
742 West Gardena Blvd
Gardena, CA 90247-3817
Mailing address
742 West Gardena Blvd.
Gardena, CA 90247
Phone (310) 327-1357
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | emem.brown.p1@direct.venicefamilyclinic.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
604 Rose Ave
Venice, CA 90291-2767
Phone (310) 664-7901
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA19245 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Venice Family Clinic | Current | Accepting new patients | |
| Venice Family Clinic | Current | Accepting new patients | |
| Venice Family Clinic | Current | Accepting new patients | |
| Venice Family Clinic | Current | Accepting new patients | |
| Venice Family Clinic | Current | Accepting new patients | |
| County of Ventura | Past | Accepting new patients |
Locations
742 W Gardena Blvd
Gardena, CA 90247
Phone (310) 327-1357
1091 S La Brea Ave
Inglewood, CA 90301
Phone (310) 330-2960
4700 Inglewood Blvd
Ste 102
Los Angeles, CA 90230
Phone (310) 664-7901
2509 Pico Blvd
Santa Monica, CA 90405
Phone (310) 664-7901
604 Rose Ave
Venice, CA 90291
Phone (310) 392-8630
905 Venice Blvd
Venice, CA 90291
Phone (310) 392-8630
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- ebrown753245@direct.ochin.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Venice, CA
- NPI 1669418513
-
- Federally Qualified Health Center (FQHC)
- Culver City, CA
- NPI 1003842360
-
- Federally Qualified Health Center (FQHC)
- Venice, CA
- NPI 1124054564
-
- Federally Qualified Health Center (FQHC)
- Hawthorne, CA
- NPI 1518739515
-
- Federally Qualified Health Center (FQHC)
- Santa Monica, CA
- NPI 1558397067
-
dba Santa Paula West FQHC
- Federally Qualified Health Center (FQHC)
- Santa Paula, CA
- NPI 1841431707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1750589149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "742 WEST GARDENA BLVD.",
"city": "GARDENA",
"state": "CA",
"postal_code": "90247",
"telephone_number": "310-327-1357",
"fax_number": "310-327-5386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "742 WEST GARDENA BLVD",
"city": "GARDENA",
"state": "CA",
"postal_code": "902473817",
"telephone_number": "310-327-1357",
"fax_number": "310-327-5386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "EMEM",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-06",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "19245",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA19245",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "emem.brown.p1@direct.venicefamilyclinic.nextgenshare.com",
"affiliation": "N",
"address_1": "1091 S La Brea Ave",
"city": "Inglewood",
"state": "CA",
"country_code": "US",
"postal_code": "903013817",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.