Organization Active NPI

David D Brown DO Inc

  • Neurology Physician
  • Garden Grove, CA
National Provider Identifier
1881250918
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
DAVID D BROWN DO INC
Practice address
12062 Valley View St Ste 107
Garden Grove, CA 92845-1738
Phone
(714) 646-7040
Fax
(714) 646-7143
NPI assigned
May 14, 2019
Last updated
Jun 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Authorized official

Name
David D Brown, DONPI 1669652533
Title
Owner
Phone
(479) 249-0435

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

12062 Valley View St Ste 107
Garden Grove, CA 92845-1738

Mailing address

4972 Marlin Dr
Huntington Beach, CA 92649-3580
Phone (479) 249-0435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191227001210 CA Part B Supplier - Clinic/Group Practice 5496189458 Receives reassigned benefits from 1 practitioner
Practice locations: Garden Grove, CA; Placentia, CA

National Provider Directory

National Provider Directory

Locations

12062 Valley View St
Ste 107
Garden Grove, CA 92845
Phone (479) 249-0435

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1881250918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4972 MARLIN DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926493580",
            "telephone_number": "479-249-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12062 VALLEY VIEW ST STE 107",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451738",
            "telephone_number": "714-646-7040",
            "fax_number": "714-646-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID D BROWN DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-249-0435",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.