Active NPI
Whitney Brazil
- Medical Physician Assistant
- Pomona, CA
National Provider Identifier
1861051377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 309 E 2ND St
Pomona, CA 91766-1854 - Phone
- (909) 623-6116
- NPI assigned
- Jun 8, 2019
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
309 E 2ND St
Pomona, CA 91766-1854
Mailing address
2270 Cahuilla St Apt 163
Colton, CA 92324-4766
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57122 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nellie Gail Urgent Care | Past | Accepting new patients | |
| Senior'S Choice Medical Group, Inc. | Past | Accepting new patients | |
| Reuben C Castillo, Professional Corporation | Past | Accepting new patients |
Interoperability endpoints
- whitney.brazil.p2@direct.mpmccorp.nextgenshare.com
- whitney.brazil.p6@direct.mpmccorp.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Riverside, CA
- NPI 1730258765
-
- Urgent Care Clinic/Center
- Laguna Hills, CA
- NPI 1073909859
-
- Urgent Care Clinic/Center
- Laguna Hills, CA
- NPI 1306214184
-
- General Practice Physician
- Perris, CA
- NPI 1942429188
-
- Family Medicine Physician
- Fontana, CA
- NPI 1023506672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559952000000",
"number": "1861051377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2270 CAHUILLA ST APT 163",
"city": "COLTON",
"state": "CA",
"postal_code": "923244766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 E 2ND ST",
"city": "POMONA",
"state": "CA",
"postal_code": "917661854",
"telephone_number": "909-623-6116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAZIL",
"first_name": "WHITNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-08",
"last_updated": "2019-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.