BRYAN A. GUNNOE, MD, INC. (NPI# 1487909289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487909289 |
| Entity Type | Organization |
| Organization Name | BRYAN A. GUNNOE, MD, INC. |
| Practice Address |
12021 Jacaranda Ave Suite 202 Hesperia CA 92345-4978 |
| Mailing Address |
12277 Apple Valley Rd # 396 #396 Apple Valley CA 92308-1701 |
| Practice Telephone | 7609565200 |
| Practice Fax Number | 7606690793 |
| Mailing Telephone | 7609565200 |
| Mailing Fax Number | 7606690793 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |
| Authorized Official Name | BRYAN A GUNNOE (ORTHOPAEDIC SURGEON / OWNER) |
| Authorized Official Telephone | 7609565200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G71016 | CA | Other Service Providers |
| Street Address |
12021 JACARANDA AVE SUITE 202 |
| City | HESPERIA |
| State | CA |
| Zip Code | 92345-4978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912948019 | Samuel G Wilson | Emergency Medicine | 12021 Jacaranda Ave, 101, Hesperia, CA 92345-4956 | 2006-06-09 |
| 1851801443 | Eric Zywicki | Nurse Practitioner | 12021 Jacaranda Ave, Hesperia, CA 92345-4978 | 2017-10-09 |
| 1578929113 | Abraham Wilson Inc | Clinic/Center | 12021 Jacaranda Ave, Suite #100, Hesperia, CA 92345-4978 | 2016-01-12 |
| 1164891289 | Tanya Antonieta Benitez | Nurse Practitioner | 12021 Jacaranda Ave, Suite 101, Hesperia, CA 92345-4978 | 2015-09-18 |
| 1174901334 | Keen Medical Group Inc | Nurse Practitioner | 12021 Jacaranda Ave, Suite # 101, Hesperia, CA 92345-4978 | 2015-05-08 |
| 1962788067 | Pamela Bryant | Nurse Practitioner | 12021 Jacaranda Ave, Hesperia, CA 92345-4978 | 2011-11-02 |
| 1306091954 | Liz C Bendezu | Nurse Practitioner | 12021 Jacaranda Ave, Hesperia, CA 92345-4956 | 2008-11-24 |
| 1053456962 | Keen Medical Group, Inc. | Family Medicine | 12021 Jacaranda Ave, Hesperia, CA 92345-4978 | 2007-02-20 |
| 1295745958 | Adela Mercedes Valenzuela | Registered Nurse | 12021 Jacaranda Ave, Hesperia, CA 92345-4978 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881467 | Leslie Guzman | Behavioral Analyst | 6700 Newhall Ave, Hesperia, CA 92345 | 2020-08-14 |
| 1134769896 | Nu Wave Medical Group Inc | Family Medicine | 9390 Hesperia Rd Suite 7, Hesperia, CA 92345 | 2020-01-10 |
| 1760901383 | Lindsey Kathleen Dunnagan | Counselor | 16501 Walnut Street, Suite 12, Hesperia, CA 92345 | 2017-09-14 |
| 1356869374 | Deborah Irene Freeman | Nurse Practitioner | 15398 Main Street Suite A, Hesperia, CA 92345 | 2017-08-30 |
| 1902260151 | Serge Bronstein | Counselor | 16808 Main St., D-154, Hesperia, CA 92345 | 2016-04-13 |
| 1366815805 | Caremore Health Plan | Nurse Practitioner | 17085 Main Street, Hesperia, CA 92345 | 2015-11-05 |
| 1174928402 | Jennifer Cathrin Bayle | Counselor | 17130 Sequoia St, Suite 106, Hesperia, CA 92345 | 2014-10-29 |
| 1447654256 | Diana Grace Chilstrom | Marriage & Family Therapist | 11776 Mariposa Road, Hesperia, CA 92345 | 2014-10-22 |
| 1639597545 | Adrianna Ebony Williams | Physical Therapy Assistant | 8939 11th Ave, Hesperia, CA 92345 | 2014-03-29 |
| 1477974426 | Aja Stoll | Case Manager/Care Coordinator | 9655 Ninth Ave, Hesperia, CA 92345 | 2013-12-18 |
| Find all providers in zip 92345 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1497353239 | Nadia Nodoust-christensen | Specialist | 1627 Curtis Ave, Manhattan Beach, CA 90266-7022 | 2020-10-14 |
| 1073111936 | Griffin Nutrition Xterem | Specialist | 21575 Dome Trl, Topanga, CA 90290-3645 | 2020-10-13 |
| 1811503162 | George Thomas Lafortune | Specialist | 7927 Painter Ave Ste 200, Whittier, CA 90602-2480 | 2020-09-22 |
| 1699383661 | Transgender Health and Wellness Center | Specialist | 6700 Indiana Ave Ste 252, Riverside, CA 92506-4264 | 2020-07-16 |
| 1700403524 | Kelly Phillips | Specialist | 4650 Fruitvale Rd, Newcastle, CA 95658-9240 | 2020-06-27 |
| 1417572462 | Sarah Velez | Specialist | 1001 Potrero Ave Rm 7g19, San Francisco, CA 94110-3518 | 2020-06-15 |
| 1295350668 | Bette Graff | Specialist | 4148 10th St, Riverside, CA 92501-3110 | 2020-06-11 |
| 1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
| 1811510043 | Michael J Kodrich | Specialist | 40555 California Oaks Rd, Murrieta, CA 92562-5723 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
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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.