Active NPI
Brenda Marie Street
- Other Technician
- Newman, CA
National Provider Identifier
1982373460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- PT32772
- Practice address
- 941 Haycastle CT
Newman, CA 95360-9541 - Phone
- (209) 695-8421
- NPI assigned
- Sep 8, 2021
- Last updated
- Sep 8, 2021
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | PT32772 | CA | Primary |
Addresses
Primary practice location
941 Haycastle CT
Newman, CA 95360-9541
Mailing address
941 Haycastle CT
Newman, CA 95360-9541
Phone (209) 695-8421
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT32772 | CA | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1982373460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 HAYCASTLE CT",
"city": "NEWMAN",
"state": "CA",
"postal_code": "953609541",
"telephone_number": "209-695-8421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "941 HAYCASTLE CT",
"city": "NEWMAN",
"state": "CA",
"postal_code": "953609541",
"telephone_number": "209-695-8421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREET",
"first_name": "BRENDA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-08",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "CA",
"license": "PT32772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newman, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.