Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Breazeale

Individual provider Registered Nurse · NPI 1508547803

Justin Breazeale is a Certified Registered Nurse Anesthetist (CRNA) in Pasadena, California. Qualified in 2024, 2 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2023
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Practice location Address checks out

100 S Los Robles Ave
Pasadena, CA 91101-2453
Phone: (626) 564-3027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 835105 (CA)

Record details

NPI number1508547803
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 28, 2023
Last updated in NPPESMay 27, 2025
Certification dateJuly 28, 2023
Mailing address14834 Lilac Rd, Panorama City, CA 91402-1853

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pasadena