Active NPI
Brenda Kay Hamer, MD
- Pediatrics Physician
- San Diego, CA
National Provider Identifier
1952599490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A107846
- Practice address
- 7425 Mission Valley Rd
Ste 202 McS91
San Diego, CA 92108-4409 - Phone
- (619) 245-2365
- NPI assigned
- Oct 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A107846 | CA | Primary |
Addresses
Primary practice location
7425 Mission Valley Rd
Ste 202 McS91
San Diego, CA 92108-4409
Mailing address
File # 54433
Los Angeles, CA 90074-4433
Phone (858) 784-5888
Other names 1
- Brendra Kay Fidaleo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A107846 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Past | Accepting new patients | |
| Rady Children's Hospital San Diego | Past | Accepting new patients | |
| Scripps Clinic Medical Group | Past | Accepting new patients |
Interoperability endpoints
- bhamer19499@scrippshlth.medalliesdirect.net
Organizations & group practices 4
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.
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Diego, CA
- NPI 1851303994
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1124003280
-
dba Scripps Memorial Hospital La Jolla
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333929600000",
"number": "1952599490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE # 54433",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900744433",
"telephone_number": "858-784-5888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7425 MISSION VALLEY RD",
"address_2": "STE 202 MCS91",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084409",
"telephone_number": "619-245-2365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMER",
"first_name": "BRENDA KAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-10",
"last_updated": "2012-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A107846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRENDRA",
"last_name": "FIDALEO",
"middle_name": "KAY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.