Active NPI
John F Brasch, MD
- Urology Physician
- Los Angeles, CA
National Provider Identifier
1851309272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- A30172
- Practice address
- 6360 Wilshire Blvd Ste 205
Los Angeles, CA 90048-5601 - Phone
- (323) 653-6404
- Fax
- (323) 651-4246
- NPI assigned
- Aug 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | A30172 | CA | Primary |
Addresses
Primary practice location
6360 Wilshire Blvd Ste 205
Los Angeles, CA 90048-5601
Mailing address
6360 Wilshire Blvd Ste 205
Los Angeles, CA 90048-5601
Phone (323) 653-6404
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A301720 | Medicaid | CA | |
| A30172 | Other | CA | LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mahfouz M. Michael,M.D.,Inc. | Past | Accepting new patients | |
| Mahfouz M. Michael,M.D.,Inc. | Past | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
dba Clinica Medica San Miguel
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1093934986
-
dba Clinica Medica San Miguel
- Internal Medicine Physician
- San Fernando, CA
- NPI 1609095587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851309272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6360 WILSHIRE BLVD STE 205",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485601",
"telephone_number": "323-653-6404",
"fax_number": "323-651-4246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6360 WILSHIRE BLVD STE 205",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485601",
"telephone_number": "323-653-6404",
"fax_number": "323-651-4246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRASCH",
"first_name": "JOHN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "A30172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A301720",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "A30172",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.