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DR. ETHAN JEREMY BREEN D.O
NPI 1922357003
Family Medicine in Pismo Beach, CA

Active since September 05, 2012
901 OAK PARK BLVD, PISMO BEACH, CA 93449(805) 489-2205 Get Directions Write a Review

NPPES record last updated: February 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ethan Jeremy Breen D.o NPPES

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

DR. ETHAN JEREMY BREEN D.O (NPI 1922357003) is an individual family medicine provider in Pismo Beach, California, licensed in California (20A13057) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1922357003
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ETHAN JEREMY BREENCredential: D.O
Location Address901 OAK PARK BLVDPismo Beach, CA 93449-3408
Mailing Address901 Oak Park BlvdPismo Beach, CA 93449-3408 · (805) 489-2205
Phone(805) 489-2205
Sole ProprietorYes
Enumeration DateSeptember 5, 2012
Last NPPES UpdateFebruary 3, 2014
✔ NPI 1922357003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · 20A13057✔ Licensed in NY · 266939
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
901 OAK PARK BLVD, Pismo Beach, CA 93449
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Other Providers at the Same Location NPPES 9

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

DENEEN C DICARLO MD INC A PROF CORP
Internal Medicine (Rheumatology)
901 OAK PARK BLVD, SUITE 101
PISMO BEACH, CA 93449
San Luis Obispo County (805) 489-8039
FIRST CHOICE PHYSICIAN PARTNERS
Internal Medicine
901 OAK PARK BLVD, SUITE 101
PISMO BEACH, CA 93449
San Luis Obispo County (805) 489-2205
TRACI R. FERNANDES, DDS, INC
Dentist (Orthodontics and Dentofacial Orthopedics)
901 OAK PARK BLVD, SUITE 203
PISMO BEACH, CA 93449
San Luis Obispo County (805) 489-8232
K. GEORGE SACHARIAH MD
Internal Medicine
901 OAK PARK BLVD, SUITE 101
PISMO BEACH, CA 93449
San Luis Obispo County (805) 489-2205
PAUL LYLE MANOSAR PT
Physical Therapist
901 OAK PARK BLVD, SUITE 102
PISMO BEACH, CA 93449
San Luis Obispo County (805) 481-8272
SCOTT ROBERTSON MD INC
Family Medicine
901 OAK PARK BLVD, SUITE 100
PISMO BEACH, CA 93449
San Luis Obispo County (805) 489-2205
MARIELLA ALVARELLOS M.D
Family Medicine
901 OAK PARK BLVD, SUITE 101
PISMO BEACH, CA 93449
San Luis Obispo County (805) 489-2205
VENTANA HEALTH AND MEDICAL CENTER
Family Medicine
901 OAK PARK BLVD, SUITE 101
PISMO BEACH, CA 93449
San Luis Obispo County (805) 489-2205

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 Ethan Breen's NPI number?

The NPI number for Ethan Breen is 1922357003. It was assigned to this individual provider in the NPPES registry on September 5, 2012.

Where is Ethan Breen located?

Ethan Breen practices at 901 Oak Park Blvd, Pismo Beach, CA 93449. The listed phone number is (805) 489-2205.

What is Ethan Breen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Ethan Breen was last updated on February 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.