Individual provider Active NPI

Brenda Nava, PA

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1780218271
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA58229 Issued in CA
Practice address
1828 E Cesar E Chavez Ave Ste 5000
Los Angeles, CA 90033-2487
Phone
(323) 987-1200
Fax
(323) 987-1212
NPI assigned
Feb 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA58229 CA Primary

Addresses

Primary practice location

1828 E Cesar E Chavez Ave Ste 5000
Los Angeles, CA 90033-2487

Mailing address

1828 E Cesar E Chavez Ave Ste 5000
Los Angeles, CA 90033-2487
Phone (323) 987-1200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240605002468 CA Practitioner - Physician Assistant 7911326566 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
58229CAMDGeneral Practice Dentistry
PA58229CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
White Memorial Community Health Center CurrentSince Mar 24, 2024 Accepting new patients
White Memorial Community Health Center CurrentSince Mar 24, 2024 Accepting new patients

Locations

1828 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 859-3634

1828 E Cesar E Chavez Ave
Ste 5000
Los Angeles, CA 90033
Phone (323) 859-3642

1828 E Cesar E Chavez Ave
Ste 6100
Los Angeles, CA 90033
Phone (323) 859-3627

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JECHBA
  • Direct secure messaging: nava.brenda.p1@direct.scfhc.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1780218271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 E CESAR E CHAVEZ AVE STE 5000",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332487",
            "telephone_number": "323-987-1200",
            "fax_number": "323-987-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 E CESAR E CHAVEZ AVE STE 5000",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332487",
            "telephone_number": "323-987-1200",
            "fax_number": "323-987-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVA",
        "first_name": "BRENDA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA58229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.