Brooke McIntosh Aber, P.A.
Individual provider Active NPI Surgical Physician Assistant · Pleasant Hill, CA
NPI 1790716074 · NPPES record last updated Dec 2, 2024
Key facts
- NPI
- 1790716074
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- PA15541 (CA)
- Practice address
- 2250 Morello Ave
Pleasant Hill, CA 94523-1860 - Phone
- (925) 287-1256
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051004001130 | CA | Practitioner - Physician Assistant | 0143255513 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden State Orthopedics & Spine | Current |
Accepting new patients | |
| Bass Medical Group | Current |
Accepting new patients | |
| Bass Medical Group | Current |
Accepting new patients | |
| Golden State Orthopedics & Spine | Current |
Accepting new patients | |
| Bass Medical Group | Past | Accepting new patients | |
| Golden State Orthopedics & Spine | Past | Accepting new patients |
Locations
1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225
350 John Muir Pkwy
Ste 155
Brentwood, CA 94513
2250 Morello Ave
Pleasant Hill, CA 94523
Phone 9252871256121
5201 Norris Canyon Rd
Ste 230
San Ramon, CA 94583
Phone (925) 244-9355
2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424
2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820
Interoperability endpoints
- baber17979@ehr.johnmuirhealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA15541 | CA | |
| Surgical Physician Assistant | 363AS0400X | PA15541 | CA | Yes |
Addresses
Primary practice location
2250 Morello Ave
Pleasant Hill, CA 94523-1860
Mailing address
2250 Morello Ave
Pleasant Hill, CA 94523-1860
NPI Registry JSON
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1790716074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 MORELLO AVE",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945231860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 MORELLO AVE",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945231860",
"telephone_number": "925-287-1256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABER",
"first_name": "BROOKE",
"middle_name": "MCINTOSH",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA15541",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA15541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Hill, CA
- 2Gorjis Integrated Health & Wellness
- Accentcare Home Health of California, Inc.
- Active Restoration LLC
- Advance Spinal Decompression Clinic
- Advanced Hearing Aid Center
- Layla Afsari
All providers in Pleasant Hill, CA · Surgical Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.