JAMES E BRUNS OD A PROFESSIONAL (NPI# 1306112362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306112362 |
Entity Type | Organization |
Organization Name | JAMES E BRUNS OD A PROFESSIONAL |
Practice Address |
6180 State Farm Dr Rohnert Park CA 94928-2135 |
Practice Telephone | 7075847294 |
Practice Fax Number | 7075844728 |
Mailing Telephone | 7075847294 |
Mailing Fax Number | 7075844728 |
Enumeration Date | 2012-03-23 |
Last Update Date | 2013-12-19 |
Authorized Official Name | LESLIE C BORDI (OFFICE MANAGER) |
Authorized Official Telephone | 7075847294 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305S00000X | Point of Service | CA5247 | CA | Managed Care Organizations |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | SD0052470 | 05 |
Street Address |
6180 STATE FARM DR |
City | ROHNERT PARK |
State | CA |
Zip Code | 94928-2135 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306926787 | James Edward Bruns | Optometrist | 6180 State Farm Dr, Rohnert Park, CA 94928-2135 | 2006-10-17 |
1710408737 | Tiffanie Tian Yu | Optometrist | 6180 State Farm Dr, Rohnert Park, CA 94928-2135 | 2017-06-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558961789 | Graton Transportation Service LLC | Taxi | 6071 Donna Ct, Rohnert Park, CA 94928 | 2020-10-27 |
1720636145 | Nicole Merryman | Dietitian, Registered | 150 Raleys Towne Centre, #3033, Rohnert Park, CA 94928 | 2019-08-28 |
1720518368 | Mary Elizabeth Sturgeon | Dentist | Rohnert Park Health Center Dental, 5900 State Farm Dr., 2nd Floor, Rohnert Park, CA 94928 | 2017-06-15 |
1932558491 | Carmen Pomares | Acupuncturist | 6040 Commerce Blvd Ste 105, Rohnert Park, CA 94928 | 2016-06-06 |
1689049215 | Hochima Denise Treppa | Marriage & Family Therapist | No. 2 Padre Town Center, Suite 100, Rohnert Park, CA 94928 | 2015-12-08 |
1457722282 | Joel Reynolds | Counselor | 5430 Commerce Blvd, 2g, Rohnert Park, CA 94928 | 2015-10-20 |
1932570272 | Jessica Wendt | Pharmacy Technician | 512 Ava Ave, Rohnet Pak, CA 94928 | 2015-10-13 |
1386992972 | Judith Alden Gould | Registered Nurse | 372 City Center Drive, Rohnert Park, CA 94928 | 2012-08-29 |
1316216476 | Cynthia Morfin | Counselor | 496 Santa Alicia Drive, Rohnert Park, CA 94928 | 2011-12-19 |
1255641411 | Anka Behavorial Health, Inc. | Community/Behavioral Health | 1033 San Francisco Way, Rohnert Park, CA 94928 | 2010-10-20 |
Find all providers in zip 94928 |
Taxonomy Code | 305S00000X |
Grouping | Managed Care Organizations |
Classification | Point of Service |
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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1427516681 | Klifford T Kapus Dds., Msd A Dental Corporation | Point of Service | 4200 East Ave Ste 100, Livermore, CA 94550-4945 | 2019-03-06 |
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Find all providers with the same taxonomy |
City | ROHNERT PARK |
Zip Code | 94928 |
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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.