Individual provider Active NPI

Bri'Andra Grantham, FNP

  • Family Nurse Practitioner
  • Huntington Beach, CA
National Provider Identifier
1982204533
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95016838 Issued in CA
Practice address
9131 Adams Ave
Huntington Beach, CA 92646-3462
Phone
(714) 845-5900
NPI assigned
Oct 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 340730 TN
Family Nurse Practitioner 363LF0000X 1020057 TX
Family Nurse Practitioner 363LF0000X 95016838 CA Primary

Addresses

Primary practice location

9131 Adams Ave
Huntington Beach, CA 92646-3462

Mailing address

9131 Adams Ave
Huntington Beach, CA 92646-3462
Phone (714) 845-5900

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210312002313 CA Practitioner - Nurse Practitioner 1951717149 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
340730TNMDRegistered Nurse
95016838CAMDFamily Nurse Practitioner
1020057TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anaheim Urgent Care, Inc CurrentSince Sep 5, 2022 Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family CurrentSince Nov 22, 2021 Accepting new patients
Exer Medical Corporation CurrentSince Sep 13, 2023 Accepting new patients
Carbon Health Medical Group of California PC CurrentSince Nov 26, 2024 Accepting new patients
Anaheim Urgent Care, Inc. Current Accepting new patients
Anaheim Urgent Care, Inc CurrentSince Sep 5, 2022 Accepting new patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Family CurrentSince Nov 22, 2021 Accepting new patients
Carbon Health Medical Group of California PC CurrentSince Nov 26, 2024 Accepting new patients
Minuteclinic Diagnostic Medical Group of California Inc Family CurrentSince Nov 22, 2021 Accepting new patients

Locations (25 of 28)

831 S State College Blvd
Anaheim, CA 92806
Phone (714) 533-2273

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

7330 El Camino Real
Atascadero, CA 93422
Phone (805) 703-2501

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

6010 Hidden Valley Rd
Ste 150
Carlsbad, CA 92011
Phone (760) 544-8233

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

9726 Venice Blvd
Culver City, CA 90232
Phone (310) 202-1300

32575 Golden Lantern
Dana Point, CA 92629
Phone (949) 248-4803

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

987 E Hillsdale Blvd
Foster City, CA 94404
Phone (650) 570-4631

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273

888 S Figueroa St
Ste 600
Los Angeles, CA 90017

1300 N La Brea Ave
Los Angeles, CA 90028
Phone (323) 464-1336

2900 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone 3105463481 ext. 8221

35 W Los Angeles Ave
Moorpark, CA 93021
Phone (805) 529-5370

11428 Kenyon Way
Rancho Cucamonga, CA 91701
Phone (909) 589-4098

1350 Florin Rd
Sacramento, CA 95822
Phone (916) 392-5184

1900 19th Ave
San Francisco, CA 94116
Phone (415) 664-1834

2514 Berryessa Rd
San Jose, CA 95132
Phone (408) 272-1431

2455 San Ramon Valley Blvd
San Ramon, CA 94583
Phone (925) 820-7325

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

2944 Tapo Canyon Rd
Ste A
Simi Valley, CA 93063
Phone (805) 306-5990

25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020

Organizations & group practices 9

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": "1604102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1982204533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9131 ADAMS AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926463462",
            "telephone_number": "714-845-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 ADAMS AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926463462",
            "telephone_number": "714-845-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANTHAM",
        "first_name": "BRI'ANDRA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-31",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "340730",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1020057",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.