MEDICARE: BRISA ISABEL BRIONES

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	3747P1801X	Personal Care Attendant	PRV28807	CA

General Provider Information

NPI Number	:	1568313906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRISA ISABEL BRIONES

Provider Business Mailing Address
First Line	:	PO BOX 1353
Second Line	:
City	:	PATTERSON
State	:	CA
Zip	:	95363-1353
Country	:	US
Telephone Number	:	209-998-5507
Fax Number	:

Provider Business Practice Location Address
First Line	:	3202 W MARCH LN STE D
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95219-2351
Country	:	US
Telephone Number	:	877-956-2532
Fax Number	:

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

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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Directions to “ BRISA ISABEL BRIONES ” Practice Location

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