Individual provider Active NPI

Brandon Dean Schneider, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1760802920
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A138489 Issued in CA
Practice address
11835 W Olympic Blvd Ste 1040E
Los Angeles, CA 90064-5806
Phone
(323) 688-6380
NPI assigned
Apr 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A138489 CA Primary

Addresses

Primary practice location

11835 W Olympic Blvd Ste 1040E
Los Angeles, CA 90064-5806

Mailing address

11835 W Olympic Blvd Ste 1040E
Los Angeles, CA 90064-5806
Phone (323) 688-6380

Other practice location 1

1510 Oxley St Ste D
South Pasadena, CA 91030-5742
Phone (323) 205-5606

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A138489CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wave Integrative Psychiatry, PC Psychiatry Current Accepting new patients
Wave Psychiatric Group, PC Addiction Medicine Current Accepting new patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Brandon D. Schneider, MD, Inc Addiction Medicine Current Accepting new patients
Southern California TMS Center Inc PastSince Jun 11, 2023 Accepting new patients

Locations

11835 W Olympic Blvd
Ste 1040E
Los Angeles, CA 90064
Phone (323) 688-6380

Interoperability endpoints

  • Direct secure messaging: brandonschneider@tdh.allscriptsdirect.net

Organizations & group practices 5

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": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1760802920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11835 W OLYMPIC BLVD STE 1040E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900645806",
            "telephone_number": "323-688-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 W OLYMPIC BLVD STE 1040E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900645806",
            "telephone_number": "323-688-6380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1510 Oxley St Ste D",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "CA",
            "postal_code": "910305742",
            "country_code": "US",
            "telephone_number": "323-205-5606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "BRANDON",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-25",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A138489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 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.