Individual provider Active NPI

Brittany A Bellows, P.A.

  • Physician Assistant
  • Torrance, CA
National Provider Identifier
1801088240
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19233 Issued in CA
Practice address
5215 Torrance Blvd Ste 210
Torrance, CA 90503-4009
Phone
(310) 316-6190
Fax
(310) 540-7362
NPI assigned
Aug 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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 PA19233 CA Primary

Addresses

Primary practice location

5215 Torrance Blvd Ste 210
Torrance, CA 90503-4009

Mailing address

5215 Torrance Blvd Ste 210
Torrance, CA 90503-4009
Phone (310) 316-6190

Other practice location 1

2200 E Maple Ave
El Segundo, CA 90245-6507
Phone (310) 316-6190

Other identifiers 1

IdentifierTypeStateIssuer
WPA17486AOtherCAMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address damezola@coastalorthoca.com Direct

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
I20071025000320 CA Practitioner - Physician Assistant 6507953387 Reassigns benefits to 2 organizations

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
Urgent Care Plus Telehealth IncGroup PAC ID 0941630123, 27 clinicians

Practice addresses (Care Compare)

1387 E 2ND St
Benicia, CA 94510-2836
Phone (707) 377-1005

2360 1St St
Napa, CA 94559-2239
Phone (707) 377-1007

Hospital & facility affiliations

  • Bridge Home Health Home health agency, Salinas, CA, CCN 559775
  • Dominican Hospital Hospital, Santa Cruz, CA, CCN 050242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19233CAMDClinical Social Worker
PA19233CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Plus Telehealth Inc CurrentSince May 22, 2023 Accepting new patients
Santa Cruz Community Health Centers CurrentSince Feb 10, 2025 Accepting new patients
Orthopaedic and Extremity Specialists Medical Group Inc Past Accepting new patients
Santa Cruz Community Health Centers Physician Assistant Past Accepting new patients
Urgent Care Plus Telehealth Inc PastSince Dec 13, 2022 Accepting new patients

Locations

1387 E 2nd St
Benicia, CA 94510
Phone (707) 377-1005

446 W Napa St
Sonoma, CA 95476
Phone (707) 690-5332

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1801088240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 TORRANCE BLVD STE 210",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034009",
            "telephone_number": "310-316-6190",
            "fax_number": "310-540-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 TORRANCE BLVD STE 210",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034009",
            "telephone_number": "310-316-6190",
            "fax_number": "310-540-7362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 E Maple Ave",
            "address_purpose": "LOCATION",
            "city": "El Segundo",
            "state": "CA",
            "postal_code": "902456507",
            "country_code": "US",
            "telephone_number": "310-316-6190",
            "fax_number": "310-540-7362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLOWS",
        "first_name": "BRITTANY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA19233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WPA17486A",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "damezola@coastalorthoca.com",
            "affiliation": "N",
            "endpointDescription": "employer email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "23456 Hawthorne Blvd Ste 300",
            "city": "Torrance",
            "state": "CA",
            "country_code": "US",
            "postal_code": "905054716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.