DR. JACQUELINE BRACY (NPI# 1396806253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396806253 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE BRACY |
| Credential | M.D. |
| Practice Address |
210 S Grand Ave Suite 324 Glendora CA 91741-4205 |
| Mailing Address |
Po Box 1418 Suite 324 Glendora CA 91740-1418 |
| Practice Telephone | 6268520411 |
| Practice Fax Number | 6268520407 |
| Mailing Telephone | 6268520411 |
| Mailing Fax Number | 6268520407 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2016-08-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | C043356 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407125461 | Jacqueline J Bracy | Registered Nurse | 50 Bailey Ave, Plattsburgh, NY 12901-1445 | 2011-12-21 |
| Street Address |
210 S GRAND AVE SUITE 324 |
| City | GLENDORA |
| State | CA |
| Zip Code | 91741-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891771143 | Janet Pilar Fermin | Pediatrics | 210 S Grand Ave, Ste 202, Glendora, CA 91741-4269 | 2005-12-19 |
| 1841648573 | Robert Cory Zapotosky | Physician Assistant | 210 S Grand Ave, Glendora, CA 91741-4205 | 2016-06-03 |
| 1740684562 | Mariam Claire Arnouk | Dentist | 210 S Grand Ave, Suite 420, Glendora, CA 91741-4205 | 2014-10-22 |
| 1013357300 | Arnouk Dds Inc | Dentist | 210 S Grand Ave, Suite 420, Glendora, CA 91741-4205 | 2013-07-01 |
| 1902242894 | Kislinger Eye Services Inc | Optometrist | 210 S Grand Ave, Suite 106, Glendora, CA 91741-4205 | 2013-05-17 |
| 1760738066 | United Family Physicians, Inc. | Family Medicine | 210 S Grand Ave, Suite 415, Glendora, CA 91741-4205 | 2012-07-24 |
| 1609189893 | Ron Gutmark | Internal Medicine | 210 S Grand Ave, #106, Glendora, CA 91741-4205 | 2010-07-16 |
| 1144558362 | Cheung Dpm Inc. | Podiatrist | 210 S Grand Ave, Suite 320, Glendora, CA 91741-4205 | 2009-11-29 |
| 1396973699 | Paul Moya | Family Medicine | 210 S Grand Ave, Ste 415, Glendora, CA 91741-4292 | 2009-06-24 |
| 1295984318 | Richard L Forgey Lori L Matsuno Partnership | Optometrist | 210 S Grand Ave, Suite 115, Glendora, CA 91741-4263 | 2008-09-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083244016 | Monica Keo | Psychiatry & Neurology | 501 South Grand Avenue, #200, Glendora, CA 91741 | 2020-01-17 |
| 1871144816 | Djpnicolas, LLC | Clinic/Center | 144 N. Grand Avenue, Glendora, CA 91741 | 2019-09-20 |
| 1518517192 | Ashlyn Kate Cherry | Social Worker | 916 W. Danton Drive, Glendora, CA 91741 | 2019-09-16 |
| 1497284889 | Maged Guirguis | Private Vehicle | 1262 E Ada Ave, Glendora, CA 91741 | 2017-06-08 |
| 1952793200 | Dignity Transportation Service Inc | Private Vehicle | 255 S Glendora Ave #1613, Glendora, CA 91741 | 2015-02-24 |
| 1437568029 | Arakelyan Aznavour Dental Corporation | Dentist | 175 N Pennsylvania Ave #3, Glendora, CA 91741 | 2014-08-07 |
| 1528481223 | Lucinda Lorraine Schoenick | Nurse Practitioner | 250 S. Grand Ave, Glendora, CA 91741 | 2014-01-31 |
| 1073837548 | Advanced Dental Smiles | Dentist | 455 W. Foothill Blvd, Glendora, CA 91741 | 2010-03-26 |
| 1346404621 | Amee Brown | Occupational Therapist | 401 W. Ada Ave., Glendora, CA 91741 | 2008-07-15 |
| 1356539183 | Orthopaedic Medical Group | Specialist | 412 W Carroll St, Ste 107, Glendora, CA 91741 | 2007-10-05 |
| Find all providers in zip 91741 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205997962 | Narendra K. Gupta, M.d., Inc. | Obstetrics & Gynecology | 415 W Route 66 Ste 203, Glendora, CA 91740-4335 | 2006-12-13 |
| 1043590912 | Jacqueline Bracy, M.d., Inc. | Obstetrics & Gynecology | 412 W Carroll Ave, Suite 107, Glendora, CA 91741-4240 | 2011-08-24 |
| 1659688323 | Anela Puljic | Obstetrics & Gynecology | 315 E Route 66, Glendora, CA 91740 | 2010-09-01 |
| 1891808481 | Jeffrey Lee | Obstetrics & Gynecology | 130 W Route 66, Suite 320, Glendora, CA 91740-6249 | 2006-08-16 |
| 1730165564 | Naji Bouz Md Inc & N Kassar Md Inc Ptrs | Obstetrics & Gynecology | 315 E Route 66, #101, Glendora, CA 91740-6257 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786122 | My Virtual Physician, P.c | Obstetrics & Gynecology | 4900 California Ave Fl 2, Bakersfield, CA 93309-7024 | 2020-09-28 |
| 1942817804 | La Vista Health | Obstetrics & Gynecology | 180 W Willow St Unit 3, Pomona, CA 91768-1800 | 2020-09-24 |
| 1629685730 | Farshid Moossazadeh, M.d., A Professional Corporation | Obstetrics & Gynecology | 11633 Hawthorne Blvd Ste 300, Hawthorne, CA 90250-2369 | 2020-09-23 |
| 1528673886 | Dtla Gynecology | Obstetrics & Gynecology | 1245 Wilshire Blvd Ste 690, Los Angeles, CA 90017-4880 | 2020-09-14 |
| 1659982130 | Anaya Women's Ob/gyn Group | Obstetrics & Gynecology | 18056 Wika Rd Ste B, Apple Valley, CA 92307-2194 | 2020-08-10 |
| 1477163046 | Pioneers Memorial Healthcare District | Obstetrics & Gynecology | 751 W Legion Rd Ste 204, Brawley, CA 92227-7755 | 2020-08-07 |
| 1669093357 | Adventist Health Physicians Network | Obstetrics & Gynecology | 1505 Wilson Ter Ste 300, Glendale, CA 91206-4073 | 2020-05-04 |
| 1376180893 | Elisa M Lindley Md Corporation | Obstetrics & Gynecology | 41750 Rancho Las Palmas Dr Ste D1, Rancho Mirage, CA 92270-5512 | 2019-12-03 |
| 1043864184 | Gail Mezrow | Obstetrics & Gynecology | 1280 Coldwater Canyon Dr, Beverly Hills, CA 90210-2405 | 2019-07-26 |
| 1417516444 | Matrix Clinical Research | Obstetrics & Gynecology | 1919 W 7th St Fl 2, Los Angeles, CA 90057-4103 | 2019-06-12 |
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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.