Jacqueline Brambila, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

52924 Issued in CA

Practice address

1617 Westcliff Dr
Suite 207
Newport Beach, CA 92660-5524

Phone

(949) 515-4111

Fax

(949) 515-0318

NPI assigned

Oct 9, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1821469321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 VANTAGE AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916051438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 WESTCLIFF DR",
            "address_2": "SUITE 207",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605524",
            "telephone_number": "949-515-4111",
            "fax_number": "949-515-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAMBILA",
        "first_name": "JACQUELINE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Bradley, MPT19913
• Amy M Braglia-Tarpey, M.S., R.D., CSR
• Brain and Spine Institute of California, Inc.
• Brain and Spine Surgeons of Orange County,a Medical Corporation
• Natalie Braker
• Cory Lynne Brame, M.D.
• Julie Hines Branch, RNFA
• Brandon Paul Hirsch MD Inc
• Michael Brant-Zawadzki, MD
• Amneet Kaur Brar, NP

• Physician Assistant in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.