JOHN EDRIK MICHAEL BRILLANTE NP - C NPI 1134795339

NPI Information

  • NPI: 1134795339
  • Provider Name: JOHN EDRIK MICHAEL BRILLANTE, NP - C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8615 KNOTT AVE STE 3
    BUENA PARK, CA
    ZIP 90620
  • Phone: (714) 527-4833

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NPI Details

John Edrik Michael Brillante, NP - C is a family nurse practitioner in Buena Park, CA. John Edrik Michael Brillante, NP - C NPI is 1134795339. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8615 KNOTT AVE STE 3
BUENA PARK, CA
ZIP 90620-886
Phone: (714) 527-4833

The NPI 1134795339 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/28/2021 and was last updated on 9/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily95017280CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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