NPIMap

Individual provider Active NPI

Dale J Brent, MD

  • Internal Medicine Physician
  • Sherman Oaks, CA
National Provider Identifier
1992886618
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A43070 Issued in CA
Practice address
4955 Van Nuys Blvd Ste 400
Sherman Oaks, CA 91403-1812
Phone
(818) 784-1195
Fax
(818) 784-6473
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A43070 CA Primary

Addresses

Primary practice location

4955 Van Nuys Blvd Ste 400
Sherman Oaks, CA 91403-1812

Mailing address

4955 Van Nuys Blvd Ste 400
Sherman Oaks, CA 91403-1812
Phone (818) 784-1195

Other identifiers 1

IdentifierTypeStateIssuer
GR0102370MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110119001179 CA Practitioner - Internal Medicine 1355371600 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Washington University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dale J Brent MD a Medical CorporationGroup PAC ID 2264462613, 3 clinicians

Practice addresses (Care Compare)

4955 Van Nuys Blvd
Suite 400
Sherman Oaks, CA 91403-1812
Phone (818) 784-1195

Hospital & facility affiliations

  • Skilled Services Home Health Home health agency, Encino, CA, CCN 757193
  • Metro Home Care, Inc Home health agency, Granada Hills, CA, CCN 557618
  • La Wellness Health Care, Inc Home health agency, North Hollywood, CA, CCN 059751
  • 360 Home Health Agency Home health agency, Canoga Park, CA, CCN 059742
  • Golden State Home Health Agency Home health agency, Canoga Park, CA, CCN 757414
  • Journey Hospice Services, Inc Hospice, Burbank, CA, CCN 921596
  • Mission Hospice Hospice, Pasadena, CA, CCN 051687
  • Los Angeles Community Hospital Hospital, Los Angeles, CA, CCN 050663
  • Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135
  • Sherman Oaks Hospital Hospital, Sherman Oaks, CA, CCN 050755
  • L a Downtown Medical Center Hospital, Los Angeles, CA, CCN 050763
  • Alden Terrace Convalescent Hospital Nursing home, Los Angeles, CA, CCN 056237
  • Maywood Skilled Nursing & Wellness Centre Nursing home, Maywood, CA, CCN 555130
  • Royal Palms Post Acute Nursing home, Glendale, CA, CCN 055899
  • Studio City Rehabilitation Center Nursing home, Studio City, CA, CCN 555686
  • Dreier'S Nursing Care Center Nursing home, Glendale, CA, CCN 555839

National Provider Directory

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

Practice roles (10 of 11)

OrganizationSpecialtyStatusNew patients
Central City Community Health Center Inc CurrentSince Nov 25, 2019 Accepting new patients
Central City Community Health Center Inc CurrentSince Nov 25, 2019 Accepting new patients
Ideal Health Care and Medical Clinic, Inc. CurrentSince Feb 1, 2012 Accepting new patients
Central City Community Health Center Inc Current Accepting new patients
Dale J Brent MD a Medical Corporation Internal Medicine CurrentSince Jan 1, 2000 Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Alta Los Angeles Hospital, Inc Past Accepting new patients
Flower Villa, Inc. PastSince Jan 1, 2015 Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Deanco Healthcare LLC. Past Accepting new patients

Locations

2237 W Ball Rd
Anaheim, CA 92804
Phone (714) 490-2750

1500 S Central Ave
Ste 320
Glendale, CA 91204
Phone (818) 396-5670

5970 S Central Ave
Los Angeles, CA 90001
Phone (213) 234-3280

2019 Saturn St
Monterey Park, CA 91755
Phone (323) 724-0019

4955 Van Nuys Blvd
Ste 411
Sherman Oaks, CA 91403
Phone (818) 784-1195

4955 Van Nuys Blvd
Ste 400
Sherman Oaks, CA 91403
Phone (818) 461-8911

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: djb102pcs@m1234.primeclinicalsystems.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
N/aLos Angeles, CA, CCN 056438 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2015
Jan 1, 2015
Journey Hospice Services, Inc.Burbank, CA, CCN 921596 Hospice Contracted Managing Employee
Operational/Managerial Control		 Mar 1, 2022
Mar 1, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1992886618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD STE 400",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031812",
            "telephone_number": "818-784-1195",
            "fax_number": "818-784-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD STE 400",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031812",
            "telephone_number": "818-784-1195",
            "fax_number": "818-784-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENT",
        "first_name": "DALE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A43070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0102370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.