BRYAN ANTOINE WILLIAMS NPI 1568754778

NPI Information

NPI: 1568754778
Provider Name: BRYAN ANTOINE WILLIAMS
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual
Address:
12450 VAN NUYS BLVD
SUITE 200
PACOIMA, CA
ZIP 91331
Phone: (818) 896-1161
Get Directions

Bryan Antoine Williams is a rehabilitation practitioner in Pacoima, CA. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Bryan Antoine Williams NPI is 1568754778. 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:

12450 VAN NUYS BLVD
SUITE 200
PACOIMA, CA
ZIP 91331-391
Phone: (818) 896-1161

The enumeration date for this NPI number is 5/5/2011 and was last updated on 5/13/2013.

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
1	101YM0800X	Counselor	Mental Health			No
2	225400000X	Rehabilitation Practitioner				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6758	MEDICAID	CALIFORNIA
2	7068	MEDICAID	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »