MEDICARE: MR. RON DARNELL BRITTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	175T00000X	Peer Specialist	MPSS-LKIWBG	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	171M00000X	OTHER	CA	MENTAL HEALTH

General Provider Information

NPI Number	:	1053599969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RON DARNELL BRITTON

Provider Business Mailing Address
First Line	:	5275 MAKET ST
Second Line	:	SUITE E
City	:	SAN DIEGO
State	:	CA
Zip	:	92114-2212
Country	:	US
Telephone Number	:	619-587-6004
Fax Number	:	619-264-0206

Provider Business Practice Location Address
First Line	:	5275 MARKET ST
Second Line	:	SUITE E
City	:	SAN DIEGO
State	:	CA
Zip	:	92114-2212
Country	:	US
Telephone Number	:	619-587-6004
Fax Number	:	619-264-0206

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2008
Last Update Date	:	08/06/2025

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