Individual provider Active NPI

Richard N Brownsberger, P.A.

  • Physician Assistant
  • Escondido, CA
National Provider Identifier
1871554592
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18269 Issued in CA
Practice address
488 E Valley Pkwy
Suite 404
Escondido, CA 92025-3363
Phone
(760) 739-7666
Fax
(760) 739-7633
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA18269 CA Primary
Surgical Physician Assistant 363AS0400X PA18269 CA

Addresses

Primary practice location

488 E Valley Pkwy
Suite 404
Escondido, CA 92025-3363

Mailing address

PO Box 462750
Escondido, CA 92046-2750
Phone (760) 520-8500

Other identifiers 1

IdentifierTypeStateIssuer
PA18269MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101020000740 CA Practitioner - Physician Assistant 4688682073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
IHS Radiology Medical Group IncGroup PAC ID 1052622024, 65 clinicians

Practice addresses (Care Compare)

150 W Washington St
San Diego, CA 92103-2005
Phone (619) 295-9729

2125 Citracado Pkwy
Escondido, CA 92029-4159
Phone (833) 324-4690

2185 Citracado Pkwy
Escondido, CA 92029-4159
Phone (833) 324-4690

Hospital & facility affiliations

  • Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115
  • Palomar Medical Center Poway Hospital, Poway, CA, CCN 050636

Merit-based Incentive Payment System (MIPS)

Final score
35.17 of 100Reported as group
Quality
0
Improvement activities
20
Cost
77.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
18269CAMDDentist
PA18269CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego Diagnostic Radiology Medical Group Inc CurrentSince Jan 1, 2013 Accepting new patients
San Diego Diagnostic Radiology Medical Group, Inc. CurrentSince Jan 1, 2013 Accepting new patients
Physicians Radiology Medical Group, Inc. Past Accepting new patients

Locations

255 N Elm St
Ste 102
Escondido, CA 92025
Phone (760) 743-3873

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 2

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1871554592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 462750",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920462750",
            "telephone_number": "760-520-8500",
            "fax_number": "760-520-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 E VALLEY PKWY",
            "address_2": "SUITE 404",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253363",
            "telephone_number": "760-739-7666",
            "fax_number": "760-739-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNSBERGER",
        "first_name": "RICHARD",
        "middle_name": "N",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18269",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA18269",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA18269",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.