Active NPI
Gary Brazina MD Inc.
- Non-Pharmacy Dispensing Site
- Marina del Rey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- Legal business name
- GARY BRAZINA MD INC.
- Practice address
- 13160 Mindanao Way
Ste 300
Marina del Rey, CA 90292-6358 - Phone
- (310) 821-2222
- NPI assigned
- Mar 21, 2011
- Organization subpart
- Yes
- Parent organization
- GARY BRAZINA MD INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary Brazina, MD
- Title
- Owner
- Phone
- (310) 821-2222
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Primary |
Addresses
Primary practice location
13160 Mindanao Way
Ste 300
Marina del Rey, CA 90292-6358
Mailing address
2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809
National Provider Directory
National Provider Directory- Part of
- Gary Brazina MD Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Specialist
- Marina del Rey, CA
- NPI 1992942254
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Marina del Rey, CA
- NPI 1376655142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300665600000",
"number": "1922307669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2980 N BEVERLY GLEN CIR",
"address_2": "SUITE 301",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900771726",
"telephone_number": "310-474-9809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13160 MINDANAO WAY",
"address_2": "STE 300",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926358",
"telephone_number": "310-821-2222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY BRAZINA MD INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GARY BRAZINA MD INC.",
"enumeration_date": "2011-03-21",
"last_updated": "2011-03-21",
"status": "A",
"authorized_official_last_name": "BRAZINA",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-821-2222",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.