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PHALLA POV-BRANTLE NPI 1306250709


NPI Information

NPI: 1306250709
Provider Name: PHALLA POV-BRANTLE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
7471 N FRESNO ST
FRESNO, CA
ZIP 93720
Phone: (559) 436-4500
Get Directions

Phalla Pov-brantle is a family nurse practitioner in Fresno, CA with 11 years of experience. Phalla Pov-brantle NPI is 1306250709. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7471 N FRESNO ST
FRESNO, CA
ZIP 93720-457
Phone: (559) 436-4500

The NPI 1306250709 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of allergenic extracts into skin, accessed through the skin (HCPCS:95004)
  • Injection of allergenic extracts into skin for immediate reaction analysis (HCPCS:95024)
  • Measurement and graphic recording of total and timed exhaled air capacity (HCPCS:94010)
  • Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration (HCPCS:94060)

The enumeration date for this NPI number is 6/13/2014 and was last updated on 3/29/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily23738CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0043790MEDICAIDCALIFORNIA
2ZZZ21572ZOTHERCALIFORNIAGRP PTAN FOR BAZ ALLERGY, ASTHMA & SINUS CENTER

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.