BREJON HARRIS
NPI 1548623937
Nurse Practitioner - Psychiatric/Mental Health in Gardena, CA

Q: What is Brejon Harris's NPI number?

The NPI number for Brejon Harris is 1548623937. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Q: What is Brejon Harris's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Brejon Harris was last updated on August 8, 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.

Active since April 01, 2016PECOS EnrolledAccepts Medicare Assignment

1225 W 190TH ST STE 280, GARDENA, CA 90248(310) 515-8113(310) 538-2102 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2024, Apr 1, 2016 (2 updates tracked since 2016).

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About Brejon Harris NPPES

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

BREJON HARRIS (NPI 1548623937) is an individual psychiatric/mental health provider in Gardena, California, licensed in California (95024280) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1548623937

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameBREJON HARRIS

Location Address1225 W 190TH ST STE 280Gardena, CA 90248

Mailing Address1225 W 190th St Ste 280Gardena, CA 90248-4305 · (310) 515-8113

Phone(310) 515-8113

Fax(310) 538-2102

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateApril 1, 2016

Last NPPES UpdateAugust 8, 20242 updates tracked since enumeration

NPPES CertifiedAugust 8, 2024

✔ NPI 1548623937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95024280

Also ListedBehavior AnalystTaxonomy 103K00000X · License E1097846 (CA)

1225 W 190TH ST STE 280, Gardena, CA 90248

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Brejon Harris 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 ID1355707480

PECOS Enrollment IDI20230516002453

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90248 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

DR. JUAN CRISTOBAL RONDEAU MD

Psychiatry & Neurology (Psychiatry)