DR. JEFFREY JOSEPH BRUNO (NPI# 1023233202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023233202 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY JOSEPH BRUNO |
| Credential | PH.D. |
| Practice Address |
80 Eureka Sq Suite 215 Pacifica CA 94044-2654 |
| Mailing Address |
2338 Beach Blvd Pacifica CA 94044-2700 |
| Practice Telephone | 6507380807 |
| Practice Fax Number | 6507380807 |
| Mailing Telephone | 6507380807 |
| Mailing Fax Number | 6507380807 |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC0700X |
Psychologist Specialization: Clinical |
13149 | CA | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
13149 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518924125 | Jeffrey Scott Bruno | Chiropractor | 1211 Lake Ave, Berthoud, CO 80513-9380 | 2006-04-27 |
| 1619266525 | Jeffrey Bruno | Health Maintenance Organization | 804 Pleasant St, Brockton, MA 02301-3055 | 2011-03-31 |
| 1821397936 | Jeffrey C Bruno | Pharmacist | 936 E Ludington Ave, Ludington, MI 49431-2438 | 2011-03-15 |
| 1962616342 | Jeffrey Joseph Bruno | Pharmacist | 1515 Holcombe Blvd, Division of Pharmacy - Unit 377, Houston, TX 77030-4009 | 2007-05-09 |
| Street Address |
80 EUREKA SQ SUITE 215 |
| City | PACIFICA |
| State | CA |
| Zip Code | 94044-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952404212 | Bryan P Mcdade | Physical Therapist | 80 Eureka Sq, Unit 217, Pacifica, CA 94044-2654 | 2006-09-05 |
| 1437502903 | Diane Blake | Social Worker | 80 Eureka Sq, Suite 151, Pacifica, CA 94044-2654 | 2016-07-19 |
| 1548616493 | Lopez-rullamas Chiropractic Inc | Point of Service | 80 Eureka Sq, Suite 217, Pacifica, CA 94044-2654 | 2016-05-10 |
| 1689032518 | Maria Anjoline Lopez-rullamas | Chiropractor | 80 Eureka Sq, Suite 217, Pacifica, CA 94044-2654 | 2016-02-06 |
| 1811386402 | Pacific Neurohealth, A Psychological Corporation | Psychologist | 80 Eureka Sq, Suite 218, Pacifica, CA 94044-2654 | 2015-01-20 |
| 1013159631 | Willow Family Therapy Inc | Marriage & Family Therapist | 80 Eureka Sq, Suite 216, Pacifica, CA 94044-2654 | 2009-03-27 |
| 1669612818 | Stephen Ignatius Lennon | Marriage & Family Therapist | 80 Eureka Sq, Ste. 151, Pacifica, CA 94044-2654 | 2009-03-01 |
| 1043402993 | Diane Custer | Marriage & Family Therapist | 80 Eureka Sq, Suite 151, Pacifica, CA 94044-2654 | 2007-08-14 |
| 1689881344 | Patricia Luken | Marriage & Family Therapist | 80 Eureka Sq, Suite 120, Pacifica, CA 94044-2654 | 2007-05-16 |
| 1447373493 | Marivic Rosabelle Dizon | Psychologist | 80 Eureka Sq, Suite 213, Pacifica, CA 94044-2654 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878818 | Megan Breanna Murphy | Behavior Technician | 352 Fairway Dr, Pacifica, CA 94044 | 2019-12-13 |
| 1033603360 | Aurelia Ann Mullen Spadini | Registered Nurse | 1467 Crespi Dr., Pacifica, CA 94044 | 2018-06-20 |
| 1306258595 | Kathy Marie Dodge | Marriage & Family Therapist | 243 Arroyo Drive, Pacifica, CA 94044 | 2014-05-22 |
| 1417367715 | Lisa Marie Lee | Nurse Practitioner | 340 Eureka Drive, Pacifica, CA 94044 | 2014-05-07 |
| 1730510306 | Erin Somers | Counselor | 435 Edgemar Avenue, Pacifica, CA 94044 | 2013-12-09 |
| 1730514761 | Lydia Mae Hernandez | Physical Therapy Assistant | 2400 Skyline Blvd, Apt G4, Pacifica, CA 94044 | 2013-09-10 |
| 1326483041 | Eddie B. Waldrup | Marriage & Family Therapist | 3976 24th Street, San Francisco, CA 94044 | 2013-05-08 |
| 1346593258 | Clarissa Laqui Dimacali | Nurse's Aide | 50 W. Manor Dr # 1393, Pacifica, CA 94044 | 2012-10-17 |
| 1164718581 | Jose Higareda Lopez | Counselor | 480 Manor Plaza, Pacifica, CA 94044 | 2011-06-23 |
| 1558693234 | Susanne Labarge | Acupuncturist | 1305 A Palmetto Ave, Pacifica, CA 94044 | 2010-02-05 |
| Find all providers in zip 94044 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497135248 | Maryann Elizabeth Pellino-benner | Psychologist | 106 San Jose Ave, Pacifica, CA 94044-2700 | 2015-06-08 |
| 1285805846 | Samuel Bardwell Smith | Psychologist | 1279 Linda Mar Shopping Ctr, Suite 112, Pacifica, CA 94044-3347 | 2008-03-21 |
| 1376751248 | Michael Allen Zulli | Psychologist | 340 Eureka Dr, Pacifica, CA 94044 | 2007-05-21 |
| 1790899581 | Andrea Polk | Psychologist | 80 Eureka Square, Suite 124, Pacifica, CA 94044 | 2006-08-18 |
| 1962858084 | Ingrid Ammondson | Psychologist | 480 Manor Plz, Pacifica, CA 94044-1839 | 2016-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.