Brainthrive PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

BRAINTHRIVE PC

Practice address

32123 Lindero Canyon Rd Ste 210
Westlake Village, CA 91361-5461

Phone

(818) 877-7000

Fax

(818) 877-7001

NPI assigned

Oct 1, 2018

Last updated

Jul 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yul Rapoport, DONPI 1699935080

Title

Supervising Neurologist

Phone

(818) 877-7000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yul Rapoport, DO

  • Neurology Physician
  • Westlake Village, CA
  • NPI 1699935080
  Medicare reassignment NPD Authorized official
• Omaka Leemu Omeze, RN, NP, PMHNP

  • Nurse Practitioner
  • Los Angeles, CA
  • NPI 1316653280
  NPD (past)
• Sean Theus, FNP-BC, PMHNP-BC

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1245778620
  NPD (past)

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1811472202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32123 LINDERO CANYON RD STE 210",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615461",
            "telephone_number": "818-877-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32123 LINDERO CANYON RD STE 210",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615461",
            "telephone_number": "818-877-7000",
            "fax_number": "818-877-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINTHRIVE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-01",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "RAPOPORT",
        "authorized_official_first_name": "YUL",
        "authorized_official_title_or_position": "SUPERVISING NEUROLOGIST",
        "authorized_official_telephone_number": "818-877-7000",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Dayton Bovino, DPT
• Madison Nicole Braafhart, AMFT
• Kathleen Elizabeth Bradley, M.D.
• Jennifer Lee Brady, LCSW
• Brain Centric Neuropsychology
• Brantingham Chiropractic, Inc.
• Nathania Braum
• Brett P Darrington Chiropractic Corporation
• Brian D. Rudin, M.D., Inc.
• Adelina Mehrazarin Brisbois, LMFT

• Neurology Physician in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.