Individual provider Active NPI

Patricia H Brady, M.D.

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1952390437
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C53121 Issued in CA
Practice address
9333 Genesee Ave Ste 200
San Diego, CA 92121-2113
Phone
(858) 657-8600
Fax
(858) 657-8625
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C53121 CA Primary
Family Medicine Physician 207Q00000X IL

Addresses

Primary practice location

9333 Genesee Ave Ste 200
San Diego, CA 92121-2113

Mailing address

9333 Genesee Ave Ste 200
San Diego, CA 92121-2113
Phone (858) 657-8600

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
I20080212000732 CA Practitioner - Family PracticePractitioner - Hospitalist 8325121494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of CaliforniaGroup PAC ID 3577476761, shared by 18 NPIs, 2,047 clinicians

Practice addresses (Care Compare)

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (858) 657-7000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C53121CAMDFamily Medicine Physician
036094447ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Dec 8, 2020 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California Family Medicine CurrentSince Jan 14, 2008 Accepting new patients
Regents of the University of California CurrentSince Jan 14, 2008 Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F Past Accepting new patients
Siu Physicians & Surgeons, Inc Family Medicine PastSince Aug 1, 2021 Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

9333 Genesee Ave
Ste 200
San Diego, CA 92121
Phone (858) 657-8525

9333 Genesee Ave
San Diego, CA 92121
Phone (619) 455-9100

Organizations & group practices 8

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 1

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1952390437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9333 GENESEE AVE STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212113",
            "telephone_number": "858-657-8600",
            "fax_number": "858-657-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 GENESEE AVE STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212113",
            "telephone_number": "858-657-8600",
            "fax_number": "858-657-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "PATRICIA",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C53121",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.