Individual provider Active NPI

Brian Dargiewicz, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Mateo, CA
National Provider Identifier
1992093876
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95035683 Issued in CA
Practice address
1108 S El Camino Real
San Mateo, CA 94402-2804
Phone
(650) 458-0026
Fax
(650) 458-0027
NPI assigned
Jul 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95035683 CA Primary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 822984 CA

Addresses

Primary practice location

1108 S El Camino Real
San Mateo, CA 94402-2804

Mailing address

1108 S El Camino Real
San Mateo, CA 94402-2804
Phone (650) 458-0026

Other practice location 1

1001 Potrero Ave
Pes
San Francisco, CA 94110-3518
Phone (415) 206-8125

Other practice location 2

6221 Geary Blvd Fl 2
San Francisco, CA 94121-1834
Phone (415) 386-6600

Other practice location 3

1005 Atlantic Ave
Alameda, CA 94501-1148
Phone (510) 318-6100

Other practice location 4

361 3rd St Ste B
San Rafael, CA 94901-3580
Phone (415) 747-8178

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
I20260413003146 CA Practitioner - Nurse Practitioner 1658846084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, San Francisco School of Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1005 Atlantic Ave
Alameda, CA 94501-1148

578 Castro St
San Francisco, CA 94114-2512

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
822984CAMDAdult Psychiatric/Mental Health Registered Nurse
95035683CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Felton Institute PastSince Mar 9, 2026 Accepting new patients
Felton Institute Past Accepting new patients

Organizations & group practices 3

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": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1992093876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 S EL CAMINO REAL",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022804",
            "telephone_number": "650-458-0026",
            "fax_number": "650-458-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 S EL CAMINO REAL",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022804",
            "telephone_number": "650-458-0026",
            "fax_number": "650-458-0027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Potrero Ave",
            "address_2": "PES",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103518",
            "country_code": "US",
            "telephone_number": "415-206-8125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6221 Geary Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941211834",
            "country_code": "US",
            "telephone_number": "415-386-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Alameda",
            "state": "CA",
            "postal_code": "945011148",
            "country_code": "US",
            "telephone_number": "510-318-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "361 3rd St Ste B",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949013580",
            "country_code": "US",
            "telephone_number": "415-747-8178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARGIEWICZ",
        "first_name": "BRIAN",
        "credential": "RN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-13",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95035683",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "822984",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.