Individual provider Active NPI

Wanika Brown

  • Peer Specialist
  • Fairfield, CA
National Provider Identifier
1750778148
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MPSSVCQEYP Issued in CA
Practice address
4820 Business Center Dr Ste 210
Fairfield, CA 94534-1696
Phone
(707) 224-8266
Fax
(707) 427-1637
NPI assigned
Apr 23, 2015
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X MPSSVCQEYP CA Primary
Rehabilitation Practitioner 225400000X
Community Health Worker 172V00000X MPSSVCQEYP CA

Addresses

Primary practice location

4820 Business Center Dr Ste 210
Fairfield, CA 94534-1696

Mailing address

4820 Business Center Dr Ste 210
Fairfield, CA 94534-1696
Phone (707) 427-1845

Other practice location 1

2310 1st St
Napa, CA 94559-2239
Phone (707) 224-8266

Other practice location 2

2300 Northpoint Pkwy
Santa Rosa, CA 95407-5004
Phone (707) 224-8266

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MPSSVCQEYPCAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Aldea Inc CurrentSince Jul 31, 2023 Accepting new patients
Aldea, Inc CurrentSince Jul 31, 2023 Accepting new patients

Locations

4820 Business Center Dr
Ste 210
Fairfield, CA 94534
Phone (707) 425-9670

Organizations & group practices 2

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": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1750778148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 BUSINESS CENTER DR STE 210",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341696",
            "telephone_number": "707-427-1845",
            "fax_number": "707-427-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 BUSINESS CENTER DR STE 210",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341696",
            "telephone_number": "707-224-8266",
            "fax_number": "707-427-1637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2310 1st St",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945592239",
            "country_code": "US",
            "telephone_number": "707-224-8266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Northpoint Pkwy",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954075004",
            "country_code": "US",
            "telephone_number": "707-224-8266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "WANIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSSVCQEYP",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": "MPSSVCQEYP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "470 Chadbourne Rd Ste A",
            "city": "Fairfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945349620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.