Dwight David Brown

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

304700394 Issued in CA

Practice address

21876 Winnebago LN
Lake Forest, CA 92630-2321

Phone

(818) 968-0992

NPI assigned

Aug 31, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Orange Coast Homecare, LLC

  • In Home Supportive Care Agency
  • Laguna Hills, CA
  • NPI 1891561171
  NPD Authorized official

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1902682446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21876 WINNEBAGO LN",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302321",
            "telephone_number": "818-968-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21876 WINNEBAGO LN",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302321",
            "telephone_number": "818-968-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DWIGHT",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "304700394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brightpath Mental Health LLC
• Brindha Subramanian, BDS, Inc.
• John Sands Brizendine, DDS
• Sara Michelle Brizuela, FNP-C
• Froda Gale Brotemarkle, LMFT
• Lola Coxford Brown, PH.D.
• Regina Brown, M.D.
• Bruce H. Van Vranken, M.D., Inc
• Donna Marie Brunetti, LPCC, LMHC, LPC
• Claire Louise Brunsting

• In Home Supportive Care Agency in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.