Individual provider Active NPI

Brittni Mae Micham, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Palo Alto, CA
National Provider Identifier
1972984060
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A161923 Issued in CA
Practice address
3801 Miranda Ave BLDG 7
Palo Alto, CA 94304-1207
Phone
(408) 475-3640
Fax
(682) 204-2784
NPI assigned
Jun 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A161923 CA Primary

Addresses

Primary practice location

3801 Miranda Ave BLDG 7
Palo Alto, CA 94304-1207

Mailing address

3801 Miranda Ave BLDG 7
Palo Alto, CA 94304-1207
Phone (408) 475-3640

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
I20200221001993 CA Practitioner - Physical Medicine and Rehabilitation 1557798048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Icahn School of Medicine at Mount Sinai, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Health and Rehab PCGroup PAC ID 8325315609, 29 clinicians

Practice addresses (Care Compare)

16412 Los Gatos Blvd
Los Gatos, CA 95032-5525
Phone (201) 308-8995

Merit-based Incentive Payment System (MIPS)

Final score
97.25 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A161923CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Health and Rehab PC Physical Medicine & Rehabilitation CurrentSince Feb 4, 2020 Accepting new patients

Locations

2415 S Western Ave
#1182
Los Angeles, CA 90018

2415 S Western Ave
Los Angeles, CA 90018
Phone (323) 434-1101

16412 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 356-2191

1990 Fruitdale Ave
San Jose, CA 95128
Phone (408) 998-8447

120 Jose Figueres Ave
San Jose, CA 95116
Phone (408) 272-1400

797 E Fremont Ave
Sunnyvale, CA 94087
Phone (408) 482-5480

919 N Sunset Ave
West Covina, CA 91790
Phone (626) 962-4489

103 River Rd
Ste 101
Edgewater, NJ 07020
Phone (201) 606-2592

Organizations & group practices 1

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": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1972984060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVE BLDG 7",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041207",
            "telephone_number": "408-475-3640",
            "fax_number": "682-204-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVE BLDG 7",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041207",
            "telephone_number": "408-475-3640",
            "fax_number": "682-204-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAM",
        "first_name": "BRITTNI",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A161923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.