Individual provider Active NPI

Hosea E Brown, M.D.

  • Allergy Physician
  • Palm Springs, CA
National Provider Identifier
1891787289
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
G33523 Issued in CA
Practice address
1276 N Palm Canyon Dr
Suite 110
Palm Springs, CA 92262-4411
Phone
(760) 320-9464
Fax
(760) 320-6244
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X G33523 CA Primary
Allergy Physician 207KA0200X 24719 AZ

Addresses

Primary practice location

1276 N Palm Canyon Dr
Suite 110
Palm Springs, CA 92262-4411

Mailing address

PO Box 1503
Palm Springs, CA 92263-1503
Phone (760) 320-9464

Other identifiers 3

IdentifierTypeStateIssuer
365975MedicaidAZ
AZ0803500OtherAZBLUE CROSS BLUE SHIELD
00G335230MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100820000109 CA Practitioner - Allergy/Immunology 5092735324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
State University of New York Downstate Medical Center, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1000 E Latham Ave
Suite B
Hemet, CA 92543-4409
Phone (800) 577-6639

1276 N Palm Canyon Dr
Palm Springs, CA 92262-4429
Phone (760) 320-9464

225 W Hospitality LN
San Bernardino, CA 92408-3221
Phone (800) 577-6639

56650 29 Palms Hwy
Yucca Valley, CA 92284-2866
Phone (800) 577-6639

PO Box
Suite 1503
Palm Springs, CA 92263-1503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33523CAMDDentist
G33523CAMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Devadas Moses, a Professional Medical Corporation PastSince Mar 3, 2024 Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Havasu Regional Medical Center, LLC Past Accepting new patients
Palo Verde Health Care District Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1891787289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1503",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922631503",
            "telephone_number": "760-320-9464",
            "fax_number": "760-320-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 N PALM CANYON DR",
            "address_2": "SUITE 110",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624411",
            "telephone_number": "760-320-9464",
            "fax_number": "760-320-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "HOSEA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "G33523",
            "primary": true
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "AZ",
            "license": "24719",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365975",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0803500",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G335230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.