David Shastri Brenner, MD in Los Angeles, CA

David Shastri Brenner, MD is a medicare enrolled "Radiology - Body Imaging" physician in Los Angeles, California. His current practice location is 757 Westwood Plz, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 301-6800.

David Shastri Brenner is licensed to practice in California (license number A123065) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740440148.

Contact Information

	David Shastri Brenner, MD
	757 Westwood Plz, Los Angeles, CA 90095-2143
	(310) 301-6800
	(310) 794-9035

Map and Direction

Physician's Profile

Full Name	David Shastri Brenner
Gender	Male
Speciality	Radiology - Body Imaging
Location	757 Westwood Plz, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740440148
Provider Enumeration Date: 06/10/2008
Last Update Date: 10/23/2023

Medicare PECOS Information:

PECOS PAC ID: 8921248923
Enrollment ID: I20130716000694

Medical Identifiers

Medical identifiers for David Shastri Brenner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740440148	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085B0100X	Radiology - Body Imaging	A123065 (California)	Primary
2085R0202X	Radiology - Diagnostic Radiology	A123065 (California)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. David Shastri Brenner allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Shastri Brenner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
David Shastri Brenner, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () -	David Shastri Brenner, MD 757 Westwood Plz, Los Angeles, CA 90095-2143 Ph: (310) 301-6800

Reviews and Comments

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Siamak Dardashti, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1516 Cotner Ave, Los Angeles, CA 90025 Phone: 310-445-2951 Fax: 310-479-1459

David Shastri Brenner, MD - Medicare Radiology in Los Angeles, CA