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JUSTIN BREAZEALE
NPI 1508547803
Registered Nurse in Pasadena, CA

Active since July 28, 2023Accepts Medicare Assignment
100 S LOS ROBLES AVE, PASADENA, CA 91101(626) 564-3027 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2025, Jul 28, 2023 (2 updates tracked since 2023).

About Justin Breazeale NPPES

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

JUSTIN BREAZEALE (NPI 1508547803) is an individual registered nurse in Pasadena, California, licensed in California (835105) and active in the NPI registry since July 2023. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1508547803
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameJUSTIN BREAZEALE
Location Address100 S LOS ROBLES AVEPasadena, CA 91101-2453
Mailing Address14834 Lilac RdPanorama City, CA 91402-1853
Phone(626) 564-3027
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 28, 2023
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedJuly 28, 2023
✔ NPI 1508547803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in CA · 835105
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
100 S LOS ROBLES AVE, Pasadena, CA 91101
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Breazeale is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183130552
PECOS Enrollment IDI20250722003486

Other Providers at the Same Location NPPES 4

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

LEESHY LEVI
Registered Nurse
100 S LOS ROBLES AVE
PASADENA, CA 91101
Los Angeles County (424) 430-0750
DR. TONIA JONES
Nurse Practitioner (Family)
100 S LOS ROBLES AVE
PASADENA, CA 91101
Los Angeles County (323) 223-4403
ISAAC Y KIM
Registered Nurse
100 S LOS ROBLES AVE
PASADENA, CA 91101
Los Angeles County (626) 564-3016
GARRICK LIANG
Nurse Anesthetist, Certified Registered
100 S LOS ROBLES AVE
PASADENA, CA 91101
Los Angeles County (626) 564-3016

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 Justin Breazeale's NPI number?

The NPI number for Justin Breazeale is 1508547803. It was assigned to this individual provider in the NPPES registry on July 28, 2023.

Where is Justin Breazeale located?

Justin Breazeale practices at 100 S Los Robles Ave, Pasadena, CA 91101. The listed phone number is (626) 564-3027.

What is Justin Breazeale's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Justin Breazeale enrolled in Medicare?

Yes. Justin Breazeale is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Justin Breazeale was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.