Individual provider Active NPI

Brendan Bernard McIntyre

  • Emergency Medicine Physician
  • La Jolla, CA
National Provider Identifier
1982352647
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A200402 Issued in CA
Practice address
9500 Gilman Dr Dept 606
La Jolla, CA 92093-0606
Phone
(858) 534-0830
NPI assigned
Mar 11, 2022
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A200402 CA Primary

Addresses

Primary practice location

9500 Gilman Dr Dept 606
La Jolla, CA 92093-0606

Mailing address

9500 Gilman Dr Dept 606
La Jolla, CA 92093-0606
Phone (858) 534-0830

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
I20251021002679 CA Practitioner - Emergency Medicine 4385132448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, San Diego School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ContinuemGroup PAC ID 7911302955, 13 clinicians

Practice addresses (Care Compare)

6430 S St
Lakewood, CA 90713-1713
Phone (562) 731-3990

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A200402CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Continuem CurrentSince Aug 7, 2025 Accepting new patients
Continuem PastSince Nov 9, 2021 Accepting new patients

Locations

6430 South St
Lakewood, CA 90713
Phone (310) 210-8895

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10665844

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1982352647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 GILMAN DR DEPT 606",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930606",
            "telephone_number": "858-534-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 GILMAN DR DEPT 606",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930606",
            "telephone_number": "858-534-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "BRENDAN",
        "middle_name": "BERNARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-11",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A200402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.