Courtney K. Brown, PA
Physician Assistant in San Diego, CA. Individual provider (NPI-1).
NPI number1962009183
StatusActive
Last updated in NPPESMar 27, 2025
Details
- NPI
- 1962009183
- Entity type
- Individual (NPI-1)
- Name
- Courtney K. Brown
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2020
- Certification date
- Mar 27, 2025
- Last updated
- Mar 27, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA58906 | CA | Yes |
Other names
- Courtney M. Krysl (Former Name)
Practice location
15004 Innovation DrSan Diego, CA 92128-3491
Phone 858-554-7439
Mailing address
10790 Rancho Bernardo RdSan Diego, CA 92127-5705
Phone 858-554-7439
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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