| Brandi Parr, | |
|
9808 Venice Blvd, Ste. 505, Culver City, CA 90232-2732 | |
| (310) 945-3350 | |
| (310) 945-3356 |
| Full Name | Brandi Parr |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 9808 Venice Blvd, Culver City, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578939013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 834727 (California) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95005806 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 9038 |
| Entity Name | Inland Psychiatric Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649217761 PECOS PAC ID: 9436062312 Enrollment ID: O20031106000736 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Adventist Health Clearlake Hospital Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124018031 PECOS PAC ID: 3072421197 Enrollment ID: O20041112000573 |
| Entity Name | Minuteclinic Diagnostic Medical Group Of California Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033309372 PECOS PAC ID: 8224191374 Enrollment ID: O20090115000289 |
| Entity Name | Minuteclinic Diagnostic Medical Group Of Orange County Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104013879 PECOS PAC ID: 5991868929 Enrollment ID: O20090116000214 |
| Entity Name | Minuteclinic Diagnostic Medical Group Of San Diego Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568659233 PECOS PAC ID: 2567520414 Enrollment ID: O20090127000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandi Parr, 9808 Venice Blvd, Ste. 505, Culver City, CA 90232-2732 Ph: (310) 945-3350 | Brandi Parr, 9808 Venice Blvd, Ste. 505, Culver City, CA 90232-2732 Ph: (310) 945-3350 |
Mrs. Alexandra Bilson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3828 Delmas Ter, Culver City, CA 90232 Phone: 310-494-6621 | |
Mrs. Jane Ogechi Agu, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9808 Venice Blvd, Culver City, CA 90232 Phone: 310-945-3350 | |
Peter Daniel Radulescu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9808 Venice Blvd Ste 505, Culver City, CA 90232 Phone: 310-945-3350 | |
Rayhanatou Barry, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6009 Washington Blvd, Culver City, CA 90232 Phone: 310-985-7888 | |
Chukwuemeka Kingsley Ilomuanya, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9808 Venice Blvd, Suite 505, Culver City, CA 90232 Phone: 310-945-3350 Fax: 310-945-3356 | |
Noah Kojo Peter, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3828 Delmas Ter, Culver City, CA 90232 Phone: 310-836-7000 | |
Paul Pham Araullo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4760 Sepulveda Blvd, Culver City, CA 90230 Phone: 310-390-6612 Fax: 310-398-5690 |