James S. Brust, M.D., Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

JAMES S. BRUST, M.D., INC.

Practice address

2403 S Moray Ave
Suite #4
San Pedro, CA 90732-4342

Phone

(310) 832-7943

Fax

(310) 514-8017

NPI assigned

Dec 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. James S. Brust, M.D.NPI 1427184571

Title

President

Phone

(310) 832-7943

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Steven Brust, M.D.

  • Psychiatry Physician
  • San Pedro, CA
  • NPI 1427184571
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1881963080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 S MORAY AVE",
            "address_2": "SUITE #4",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907324342",
            "telephone_number": "310-832-7943",
            "fax_number": "310-514-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 S MORAY AVE",
            "address_2": "SUITE #4",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907324342",
            "telephone_number": "310-832-7943",
            "fax_number": "310-514-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES S. BRUST, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "BRUST",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-832-7943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isc San Pedro Blasser Clinic
• Rick T Iwai, O.D.
• Christopher A Iwata, DDS
• Gioia A Jacobson, MFTI
• Nicholas Stephen Jaksic, DDS
• James T London M D a Professional Corporation
• Jane Davis Lisenced Clinical Social Worker Professional Psychotherapy
• Alvin Jang, LCSW
• Daniel Jara
• Lerin Moriah Jaraczewski, RN

• Psychiatry Physician in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.