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DR. JAN D BRINK M.D.
NPI 1326227992
Internal Medicine - Addiction Medicine in Hesperia, CA

Active since October 30, 2007PECOS Enrolled
11776 MARIPOSA RD, HESPERIA, CA 92345(760) 956-2462 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 3, 2021, Mar 17, 2018, Jul 5, 2017 (3 updates tracked since 2017).

About Dr. Jan D Brink M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAN D BRINK M.D. (NPI 1326227992) is an individual addiction medicine provider in Hesperia, California, licensed in California (A72078) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pasadena.

NPPES Registry Identity

NPI1326227992
Entity TypeIndividualFemale
Primary Taxonomy207RA0401X
Provider Legal NameDR. JAN D BRINKCredential: M.D.
Location Address11776 MARIPOSA RDHesperia, CA 92345-1622
Mailing Address11776 Mariposa RdHesperia, CA 92345-1622 · (760) 956-2462
Phone(760) 956-2462
Sole ProprietorYes
Enumeration DateOctober 30, 2007
Last NPPES UpdateMarch 20, 20243 updates tracked since enumeration
NPPES CertifiedMarch 20, 2024
✔ NPI 1326227992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License✔ Licensed in CA · A72078
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License A72678 (CA), 50186 (KY)
11776 MARIPOSA RD, Hesperia, CA 92345
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Secondary Practice Location 1

Location 1191 N El Molino AvePasadena, CA 91101-1804 · Phone (626) 356-0078 · Fax (626) 795-2844

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jan D Brink M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jan Brink reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

El Proyecto Del Barrio, Inc.
40 mi
Federally Qualified Health Center (FQHC)
150 N AZUSA AVE
Azusa, CA 91702
  • Reassigned Medicare billing, California enrollment
  • 38 clinicians in this Medicare group
NPI 1770696023 (626) 969-7885
Provider Profile
66 mi
General Practice
14407 HAMLIN ST, STE A
Van Nuys, CA 91401
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1881742047 (818) 904-9008

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92345 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISTY M OLIVARES
Counselor (Addiction (Substance Use Disorder))
11776 MARIPOSA RD
HESPERIA, CA 92345
San Bernardino County (760) 956-2462
MR. CHRISTOPHER OCHOA
Counselor (Addiction (Substance Use Disorder))
11776 MARIPOSA RD
HESPERIA, CA 92345
San Bernardino County (760) 956-2462
MR. ABRAM DARRYL MILTON M.A.
Counselor (Addiction (Substance Use Disorder))
11776 MARIPOSA RD
HESPERIA, CA 92345
San Bernardino County (760) 956-2462
NNAMAKA SHAUN UGEZENE MSNPM
Counselor (Addiction (Substance Use Disorder))
11776 MARIPOSA RD, #103
HESPERIA, CA 92345
San Bernardino County (760) 956-2462
EDWARD ALLEN PALMER
Counselor (Addiction (Substance Use Disorder))
11776 MARIPOSA RD
HESPERIA, CA 92345
San Bernardino County (760) 956-2462
VIRGINIA THOMPSON-SIMPSON CAADE 198253
Counselor (Addiction (Substance Use Disorder))
11776 MARIPOSA RD
HESPERIA, CA 92345
San Bernardino County (609) 562-4627
CHARLES PORTALES
Counselor (Addiction (Substance Use Disorder))
11776 MARIPOSA RD
HESPERIA, CA 92345
San Bernardino County (760) 956-2462
MELISSA MARCELLE HARRIS
Marriage & Family Therapist
11776 MARIPOSA RD
HESPERIA, CA 92345
San Bernardino County (760) 956-2462

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jan Brink's NPI number?

The NPI number for Jan Brink is 1326227992. It was assigned to this individual provider in the NPPES registry on October 30, 2007.

Where is Jan Brink located?

Jan Brink practices at 11776 Mariposa Rd, Hesperia, CA 92345. The listed phone number is (760) 956-2462.

What is Jan Brink's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Jan Brink enrolled in Medicare?

Yes. Jan Brink is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jan Brink's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jan Brink reassigns Medicare benefits to 2 organizations: El Proyecto Del Barrio, Inc. (Azusa, CA) and (Van Nuys, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jan Brink's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jan Brink was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.