DR. BRUCE HARRIS VAN VRANKEN (NPI# 1093742173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093742173 |
| Entity Type | Individual |
| Full Name | DR. BRUCE HARRIS VAN VRANKEN |
| Credential | M.D. |
| Practice Address |
24400 Muirlands Blvd Suite F Lake Forest CA 92630-3946 |
| Practice Telephone | 9495810400 |
| Practice Fax Number | 9495810694 |
| Mailing Telephone | 9495810400 |
| Mailing Fax Number | 9495810694 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2012-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G32570 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G32570 | 05 |
| Street Address |
24400 MUIRLANDS BLVD SUITE F |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630-3946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184663262 | Robert T. Wheeler Jr. | Dentist | 24400 Muirlands Blvd, Suite C, Lake Forest, CA 92630-3946 | 2006-06-05 |
| 1609081611 | Brent Bowling | Dentist | 24400 Muirlands Blvd, Suite A, Lake Forest, CA 92630-3946 | 2007-05-12 |
| 1467674234 | Bruce H. Van Vranken, M.d., Inc | Clinic/Center | 24400 Muirlands Blvd, Suite F, Lake Forest, CA 92630-3946 | 2007-05-02 |
| 1609880871 | Peter M Kellen | Dentist | 24400 Muirlands Blvd, Suite D, Lake Forest, CA 92630-3946 | 2006-07-27 |
| 1699789875 | Steven P Kirsch | Dentist | 24400 Muirlands Blvd, Suite D, Lake Forest, CA 92630-3946 | 2006-07-27 |
| 1013921287 | Gary C Jones | Dentist | 24400 Muirlands Blvd, Suite D, Lake Forest, CA 92630-3946 | 2006-07-27 |
| 1811910987 | Jones, Kellen Kirsch Professional Corp. | Dentist | 24400 Muirlands Blvd, Suite D, Lake Forest, CA 92630-3946 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| Find all providers in zip 92630 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386802940 | Health and Wellness Center, Inc. | Family Medicine | 23672 Birtcher Rd., Unit A, Lake Forest, CA 92630-1711 | 2008-05-29 |
| 1043374473 | Chyle E Beaird | Family Medicine | 24401 Muirlands Blvd Ste C, Lake Forest, CA 92630-3949 | 2006-12-20 |
| 1700952827 | Adel Boutros | Family Medicine | 22611 Lake Forest Dr, Lake Forest, CA 92630-1700 | 2006-11-28 |
| 1053405506 | Mohammed Mahmood Ali | Family Medicine | 23672 Birtcher Dr, Unit A, Lake Forest, CA 92630-1711 | 2006-10-02 |
| 1285747402 | California Emergency Physicians | Family Medicine | 22855 Lake Forest Dr, # A, Lake Forest, CA 92630-1656 | 2006-08-15 |
| 1982613253 | Gonzalo Flores Ruiz | Family Medicine | 22741 Lambert St, Suite1607, Lake Forest, CA 92630-1617 | 2006-08-05 |
| 1720009152 | Carol Ann Barnes-blanks | Family Medicine | 23672 Birtcher Dr Unit A, Lake Forest, CA 92630-1711 | 2006-07-21 |
| 1538190954 | Moulton Family Medical, Inc. | Family Medicine | 22611 Lake Forest Dr. #c-4, Lake Forest, CA 92630 | 2006-07-05 |
| 1306838909 | Mary M Koumas | Family Medicine | 24401 Muirlands Blvd, Suite #a, Lake Forest, CA 92630-3948 | 2005-08-19 |
| 1598394686 | Vituity - Urgent Care Services PC | Family Medicine | 22855 Lake Forest Dr Ste A, Lake Forest, CA 92630-1656 | 2020-04-02 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
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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.