Patricia Breen-McDonough

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA16251 Issued in CA

Practice address

767 S Sunset Ave
Ste 4
West Covina, CA 91790-3546

Phone

(626) 337-7204

Fax

(626) 851-1855

NPI assigned

Aug 17, 2005

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Emanate Health Medical Care FoundationGroup PAC ID 9830544980, 85 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382

Merit-based Incentive Payment System (MIPS)

Final score

84.36 of 100Reported as group

Quality

60.04

Promoting interoperability

87

Improvement activities

40

Cost

69.31

Merit-based Incentive Payment System (MIPS)

Final score

82.35 of 100Reported as group

Quality

52.92

Promoting interoperability

93

Improvement activities

40

Cost

70.76

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Emanate Health Medical Care Foundation

  • Multi-Specialty Clinic/Center
  • West Covina, CA
  • NPI 1467195073
  Medicare reassignment Care Compare group
• Emanate Health Medical Group

  • Family Medicine Physician
  • Glendora, CA
  • NPI 1326582743
  Medicare reassignment NPD
• Citrus Valley Physician Partners

  • Specialist
  • West Covina, CA
  • NPI 1043703150
  NPD
• Lake Forest Medical Group, Inc.

  • Family Medicine Physician
  • Lake Forest, CA
  • NPI 1558429092
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Emanate Health Medical Center

  • General Acute Care Hospital
  • West Covina, CA
  • NPI 1063441293
  Care Compare affiliation
• Emanate Health Medical Center

  • Psychiatric Hospital Unit
  • Covina, CA
  • NPI 1215063151
  Care Compare affiliation
• Emanate Health Medical Center

  • General Acute Care Hospital
  • Covina, CA
  • NPI 1982629440
  Care Compare affiliation

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1861484685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 S SUNSET AVE",
            "address_2": "STE 4",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903546",
            "telephone_number": "626-337-7204",
            "fax_number": "626-851-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 S SUNSET AVE",
            "address_2": "STE 4",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903546",
            "telephone_number": "626-337-7204",
            "fax_number": "626-851-1855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1135 S Sunset Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917903921",
            "country_code": "US",
            "telephone_number": "626-732-8391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREEN-MCDONOUGH",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexah Christine Bowden, MA, LMFT
• Chantal Brady
• Duangdeun Jean Brahmopala, PSYD, NP, CNS
• Lane Braver, PA
• Diana Bravo
• Brian J. Leberthon, MD., a Medical
• Brian K Machida MD a Medical Corp
• Brian Leberthon
• Bridges Comm Treatment SVS.Inc.
• Bridgeway Hospice Inc

• Physician Assistant in West Covina, CA
• Providers in West Covina, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.

Verify at the official NPI Registry.