Individual provider Active NPI

Brittany Everson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Glendora, CA
National Provider Identifier
1891349932
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5823 Issued in CA
Practice address
412 W Carroll Ave Ste 107
Glendora, CA 91741-4708
Phone
(626) 914-4890
NPI assigned
Jul 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5823 CA Primary

Addresses

Primary practice location

412 W Carroll Ave Ste 107
Glendora, CA 91741-4708

Mailing address

58249 Juarez Dr
Yucca Valley, CA 92284-6318

Other practice location 1

58249 Juarez Dr
Yucca Valley, CA 92284-6318
Phone (949) 309-0346

Other practice location 2

1135 S Sunset Ave Ste 200
West Covina, CA 91790-3964
Phone (626) 918-6655

Other names 1

  • Brittany Mammano Former name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220502001303 CA Practitioner - Podiatry 5092102566 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emanate Health Medical Care FoundationGroup PAC ID 9830544980, 85 clinicians

Practice addresses (Care Compare)

1115 S Sunset Ave
West Covina, CA 91790-3940

412 W Carroll Ave
Suite 108
Glendora, CA 91741-4707
Phone (626) 852-0411

Hospital & facility affiliations

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of nail tissue38
Removal or shaving of skin growth23
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5823CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Valley Physician Partners CurrentSince Sep 1, 2022 Accepting new patients
Emanate Health Medical Care Foundation CurrentSince Feb 21, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 23, 2022 Accepting new patients
Emanate Health Medical Group CurrentSince Sep 1, 2022 Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 23, 2022 Accepting new patients
Emanate Health Medical Group Current Accepting new patients
Riverside Medical Group PC Past Accepting new patients

Locations

315 N 3rd Ave
Ste 102
Covina, CA 91723
Phone (626) 261-4048

210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580

412 W Carroll Ave
Ste 107
Glendora, CA 91741
Phone (626) 852-0411

440 W Foothill Blvd
Glendora, CA 91741
Phone (626) 963-9402

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526

1115 S Sunset Ave
Ste 200
West Covina, CA 91790
Phone (626) 732-8390

1135 S Sunset Ave
Ste 200
West Covina, CA 91790
Phone (626) 918-6655

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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 4

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": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1891349932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58249 JUAREZ DR",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922846318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W CARROLL AVE STE 107",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414708",
            "telephone_number": "626-914-4890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "58249 Juarez Dr",
            "address_purpose": "LOCATION",
            "city": "Yucca Valley",
            "state": "CA",
            "postal_code": "922846318",
            "country_code": "US",
            "telephone_number": "949-309-0346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1135 S Sunset Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917903964",
            "country_code": "US",
            "telephone_number": "626-918-6655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERSON",
        "first_name": "BRITTANY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "MAMMANO",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.