DR. BRUCE LESLIE NELSON (NPI# 1649269614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649269614 |
| Entity Type | Individual |
| Full Name | DR. BRUCE LESLIE NELSON |
| Credential | M.D. |
| Practice Address |
26800 Crown Valley Pkwy Suite 315 Mission Viejo CA 92691-6384 |
| Practice Telephone | 9493646000 |
| Practice Fax Number | 9493641204 |
| Mailing Telephone | 9493646000 |
| Mailing Fax Number | 9493641204 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2008-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | G046205 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
G046205 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G462050 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447762810 | Bruce Paul Nelson | Massage Therapist | 4007 Old Seward Hwy Ste 1000, Anchorage, AK 99503-6065 | 2017-10-25 |
| 1659379253 | Bruce Neal Nelson | Specialist | 135 Cumberland Rd, Ste. 202, Pittsburgh, PA 15237-5447 | 2005-07-08 |
| 1841593035 | Bruce Allen Nelson | Social Worker | 200 Ter Heun Dr, Falmouth, MA 02540-2525 | 2010-12-10 |
| 1962633644 | Bruce C. Nelson | Social Worker | 4815 N Assembly St, Spokane, WA 99205-6185 | 2009-07-29 |
| 1073795993 | Bruce Lee Nelson | Dentist | 1776 E Glendale Ave, Phoenix, AZ 85020-5505 | 2007-12-03 |
| 1609951946 | Bruce Allen Nelson | Psychologist | 1500 Mcandrews Rd W, Ste 240, Burnsville, MN 55337-4432 | 2006-10-26 |
| 1740377621 | Bruce R. Nelson | Dermatology | 7737 Southwest Fwy, Suite 930, Houston, TX 77074-1818 | 2006-10-10 |
| 1164440749 | Bruce A Nelson | Ophthalmology | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2006-07-18 |
| 1962445312 | Bruce Franklin Nelson | Psychologist | 113 Holland Ave, Albany, NY 12208-3410 | 2006-06-14 |
| 1194799692 | Bruce A Nelson | Family Medicine | 2925 Sycamore Dr, Suite 204/205, Simi Valley, CA 93065-1207 | 2006-02-14 |
| Street Address |
26800 CROWN VALLEY PKWY SUITE 315 |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-6384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073519559 | Kathleen Mary Pollock | Specialist | 26800 Crown Valley Pkwy, Suite 525, Mission Viejo, CA 92691-6384 | 2005-06-21 |
| 1295262806 | Sueann Ingersoll | Nurse Practitioner | 26800 Crown Valley Pkwy, Mission Viejo, CA 92691-6384 | 2017-05-12 |
| 1609308576 | Artisan Foot and Ankle Specialist | Podiatrist | 26800 Crown Valley Pkwy, Ste 420, Mission Viejo, CA 92691-6384 | 2017-03-30 |
| 1023493459 | Hadi Mansoury Md Inc | Internal Medicine | 26800 Crown Valley Pkwy, Suite 475, Mission Viejo, CA 92691-6384 | 2015-07-28 |
| 1154765709 | Newport Children Medical Group At Mission | Pediatrics | 26800 Crown Valley Pkwy, Suite 460, Mission Viejo, CA 92691-6384 | 2013-04-25 |
| 1518301621 | Nina C Swadener | Internal Medicine | 26800 Crown Valley Pkwy, Mission Viejo, CA 92691-6384 | 2013-04-19 |
| 1386999050 | Shohreh Sameni | Hospitalist | 26800 Crown Valley Pkwy, Suite 315, Mission Viejo, CA 92691 | 2012-07-19 |
| 1598024622 | Leila Ahmadi Od, Apc, An Optometric Corporation | Optometrist | 26800 Crown Valley Pkwy, Suite #308, Mission Viejo, CA 92691-6384 | 2012-05-09 |
| 1770858441 | Mission Internal Medical Froup, Inc. | Nurse Practitioner | 26800 Crown Valley Pkwy, Suite 275, Mission Viejo, CA 92691-6384 | 2012-03-14 |
| 1205101987 | Kathleen Marie Furlong | Nurse Practitioner | 26800 Crown Valley Pkwy, Suite 275, Mission Viejo, CA 92691-6384 | 2012-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
| 1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
| 1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| Find all providers in zip 92691 | ||||
| Taxonomy Code | 207RA0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Allergy & Immunology |
| An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184069692 | Tyler Basen | Internal Medicine | 26691 Plaza Ste 170, Mission Viejo, CA 92691-6396 | 2013-05-10 |
| 1598374456 | Tyler Basen Md Inc | Internal Medicine | 26691 Plaza Ste 170, Mission Viejo, CA 92691-6396 | 2020-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309341 | Kianoush Shakib Md Inc | Internal Medicine | 11661 San Vicente Blvd Ste 101, Los Angeles, CA 90049-5150 | 2019-01-10 |
| 1629510235 | Lawrence Awai | Internal Medicine | 4776 Stetson Rd, Clovis, CA 93619-9555 | 2016-11-14 |
| 1619363314 | Aminaa Siddiqi | Internal Medicine | 2440 W Covell Blvd Ste 104, Davis, CA 95616-5671 | 2015-04-09 |
| 1881082683 | Ricardo Antonio Tan Md Inc. | Internal Medicine | 5219 Cedros Ave, Sherman Oaks, CA 91411-4016 | 2014-12-31 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| 1609202274 | George Richard Barr | Internal Medicine | 225 Crossroads Blvd # 381, Carmel, CA 93923-8674 | 2013-09-16 |
| 1528403797 | Warner C. Greene | Internal Medicine | 1650 Owens St, San Francisco, CA 94158-2261 | 2013-05-01 |
| 1407153000 | Howard Eric Strom | Internal Medicine | 3411 La Falda Pl, Los Angeles, CA 90068-1509 | 2011-02-16 |
| 1598893794 | Rakesh Jindal M.d. Inc | Internal Medicine | 462 W Putnam Ave, Porterville, CA 93257-3321 | 2007-03-01 |
| 1588792048 | Michael T Mosher M.d A Medical Corporation | Internal Medicine | 415 Rolling Oaks Dr Ste 280, Thousand Oaks, CA 91361-1049 | 2007-02-28 |
| Find all providers with the same taxonomy | ||||
| City | MISSION VIEJO |
| Zip Code | 92691 |
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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.