DR. BRUCE J DREYFUSS (NPI# 1558366047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558366047 |
| Entity Type | Individual |
| Full Name | DR. BRUCE J DREYFUSS |
| Credential | M.D. |
| Practice Address |
25 N 14th St Ste 890 San Jose CA 95112-6216 |
| Practice Telephone | 4082886623 |
| Practice Fax Number | 4082886698 |
| Mailing Telephone | 4082886623 |
| Mailing Fax Number | 4082886698 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2009-02-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
G64297 | CA | Allopathic & Osteopathic Physicians |
| N | 2471B0102X |
Radiologic Technologist Specialization: Bone Densitometry |
RHC142268 | CA | Technologists, Technicians & Other Technical Service Providers |
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
FAC52131 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 5148629 | 05 | |
| CA | BLUE SHIELD # | ZZZ54863Z | 01 |
| CA | RAILROAD MEDICARE | 660003967 | 01 |
| CA | RAILROAD MEDICARE | 110048492 | 01 |
| Street Address |
25 N 14TH ST STE 890 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95112-6216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645351 | Edgardo J Solorzano | Case Manager/Care Coordinator | 25 N 14th St, San Jose, CA 95112-6204 | 2020-09-23 |
| 1285272013 | Gregory Kamph | Case Management | 25 N 14th St, San Jose, CA 95112-6204 | 2019-12-11 |
| 1407413834 | Yadira Tejeda | Case Manager/Care Coordinator | 25 N 14th St, San Jose, CA 95112-6204 | 2019-05-21 |
| 1235627514 | Erinn Mcnab | Social Worker | 25 N 14th St, San Jose, CA 95112-6204 | 2018-04-23 |
| 1053808808 | Andrea Lynn Cornett | Counselor | 25 N 14th St, San Jose, CA 95112-6204 | 2018-04-17 |
| 1720580178 | Lucila Chavez | Counselor | 25 N 14th St, San Jose, CA 95112-6204 | 2018-03-01 |
| 1144775909 | A Balanced Approach To Counseling | Counselor | 25 N 14th St, Suite 620, San Jose, CA 95112-6204 | 2016-08-22 |
| 1790133007 | Kim Thao Thi Nguyen | Specialist/Technologist | 25 N 14th St, Suite 550, San Jose, CA 95112 | 2016-05-26 |
| 1063873792 | Natalia Vassilieva | Physical Therapy Assistant | 25 N 14th St, Suite 550, San Jose, CA 95112-6204 | 2016-03-08 |
| 1144693193 | Raymond Chan | Physical Therapy Assistant | 25 N 14th St, 550, San Jose, CA 95112-6204 | 2015-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
| 1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
| 1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
| 1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
| 1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
| 1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
| Find all providers in zip 95112 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962669747 | Yong Sook Lynda Lee Md | Internal Medicine | 2512 Samaritan Ct Ste P, San Jose, CA 95124-4002 | 2008-05-20 |
| 1275519092 | Jennifer Lee | Internal Medicine | 270 International Cir, Two North, 2nd Floor, Dept. of Rheumatology, San Jose, CA 95119-1130 | 2005-12-22 |
| 1386199446 | Khurram Abbass Md Inc | Internal Medicine | 200 Jose Figueres Ave Ste 480, San Jose, CA 95116 | 2016-08-18 |
| 1316333065 | Alice Tung Chuang | Internal Medicine | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2015-04-09 |
| 1841623733 | Bay Area Arthritis Care, Inc., A Medical Group | Internal Medicine | 2242 Camden Ave, Suite 203, San Jose, CA 95124-2029 | 2013-08-14 |
| 1508159294 | Evergreen Medical Group, Inc. | Internal Medicine | 2690 S White Rd Ste 50, San Jose, CA 95148-2075 | 2011-05-27 |
| 1528369618 | Arthritis Care Center Inc | Internal Medicine | 1835 Park Ave, San Jose, CA 95126-1650 | 2010-11-05 |
| 1841326386 | Jan Lin | Internal Medicine | 260 International Cir, San Jose, CA 95119-1130 | 2007-02-27 |
| 1699853267 | Henry T. Co | Internal Medicine | 260 International Cir, San Jose, CA 95119-1130 | 2006-11-01 |
| 1497839864 | Yong Sook Lynda Lee | Internal Medicine | 2512 Samaritan Ct, Ste P, San Jose, CA 95124 | 2006-10-24 |
| Find all providers in SAN JOSE | ||||
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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.