Provider Demographics
NPI:1295942787
Name:BRINKLEY, APRIL MARIE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:MARIE
Last Name:BRINKLEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:MARIE
Other - Last Name:DEMAGGIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1555 CAMINO DEL MAR STE 110
Mailing Address - Street 2:
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-2408
Mailing Address - Country:US
Mailing Address - Phone:760-450-8021
Mailing Address - Fax:
Practice Address - Street 1:1555 CAMINO DEL MAR STE 110
Practice Address - Street 2:
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-2408
Practice Address - Country:US
Practice Address - Phone:760-450-8021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA-16334363AM0700X
CAPA-1664363AM0700X
CA16334363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty