Active NPI
Peony Ching Bragg, RN, MSN, ACNP
- Acute Care Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- NP21219
- Practice address
- 1520 San Pablo St Ste 3000
Los Angeles, CA 90033-5315 - Phone
- (323) 442-5710
- NPI assigned
- Apr 6, 2012
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | NP21219 | CA | Primary |
Addresses
Primary practice location
1520 San Pablo St Ste 3000
Los Angeles, CA 90033-5315
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-5710
Other names 1
- Peony Ching Wong
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | peony.bragg@direct.usc.edu | Direct | USC CARE MEDICAL GROUP, INC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130419000230 | CA | Practitioner - Nurse Practitioner | 5698911576 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1441 Eastlake Ave
Suite 2424
Los Angeles, CA 90089-0112
Phone (323) 442-2582
1500 San Pablo St
Los Angeles, CA 90033-5313
Phone (323) 442-8444
1516 San Pablo St
Los Angeles, CA 90033-5313
Phone (800) 872-2273
1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273
1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273
Hospital & facility affiliations
- Keck Hospital of Usc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Current | Accepting new patients |
Locations
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
1500 San Pablo St
Los Angeles, CA 90033
Phone (323) 443-8500
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
1520 San Pablo St
Ste 3000
Los Angeles, CA 90033
Phone (323) 442-5728
1520 San Pablo St
Fl 1
Los Angeles, CA 90033
Phone (213) 743-9000
1520 San Pablo St
Lowr
Los Angeles, CA 90033
Phone (323) 442-7450
1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741
8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
Hospital & facility affiliations 1
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": "1333670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1821354564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900310309",
"telephone_number": "323-442-5710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 SAN PABLO ST STE 3000",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335315",
"telephone_number": "323-442-5710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAGG",
"first_name": "PEONY",
"middle_name": "CHING",
"credential": "RN, MSN, ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-06",
"last_updated": "2023-11-27",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "NP21219",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "peony.bragg@direct.usc.edu",
"affiliation": "Y",
"affiliationName": "USC CARE MEDICAL GROUP, INC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1520 San Pablo St Ste 3000",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900335315",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "PEONY",
"last_name": "WONG",
"middle_name": "CHING",
"credential": "RN, MSN, ACNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.