Active NPI
Mandeep Brar, NP
- Family Nurse Practitioner
- Sherman Oaks, CA
National Provider Identifier
1801205364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 23621
- Practice address
- 15315 Magnolia Blvd
Sherman Oaks, CA 91403-1173 - Phone
- (818) 783-1002
- NPI assigned
- Aug 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 23621 | CA | Primary |
Addresses
Primary practice location
15315 Magnolia Blvd
Sherman Oaks, CA 91403-1173
Mailing address
2583 Rikkard Dr
Thousand Oaks, CA 91362-5306
Phone (805) 409-0049
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23621 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1801205364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2583 RIKKARD DR",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913625306",
"telephone_number": "805-409-0049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15315 MAGNOLIA BLVD",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914031173",
"telephone_number": "818-783-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAR",
"first_name": "MANDEEP",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-10",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "23621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.