Active NPI
Lola Burnett Brown, MD
- Pediatrics Physician
- El Centro, CA
National Provider Identifier
1821040130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- FB6201406
- Practice address
- 385 W Main St
El Centro, CA 92243-3040 - Phone
- (760) 339-7202
- Fax
- (760) 339-4514
- NPI assigned
- May 16, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | FB6201406 | CA | Primary |
Addresses
Primary practice location
385 W Main St
El Centro, CA 92243-3040
Mailing address
385 W. Main Street
El Centro, CA 92243
Phone (760) 339-7202
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FB6201406 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478476800000",
"number": "1821040130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 W. MAIN STREET",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "92243",
"telephone_number": "760-339-7202",
"fax_number": "760-339-4514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 W MAIN ST",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922433040",
"telephone_number": "760-339-7202",
"fax_number": "760-339-4514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "LOLA",
"middle_name": "BURNETT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2016-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "FB6201406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.