PETRA BRUCE (NPI# 1760887038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760887038 |
| Entity Type | Individual |
| Full Name | PETRA BRUCE |
| Credential | R N, PHN, BSN |
| Practice Address |
2225 Indigo Hills Dr Unit 5 Corona CA 92879-7889 |
| Practice Telephone | 9517331267 |
| Mailing Telephone | 9517331267 |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 500131 | CA | Nursing Service Providers |
| N | 163WM0102X |
Registered Nurse Specialization: Maternal Newborn |
500131 | CA | Nursing Service Providers |
| Y | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
500131 | CA | Nursing Service Providers |
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
500131 | CA | Nursing Service Providers |
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
500131 | CA | Nursing Service Providers |
| N | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
500131 | CA | Nursing Service Providers |
| N | 163WX0003X |
Registered Nurse Specialization: Obstetric, Inpatient |
500131 | CA | Nursing Service Providers |
| Street Address |
2225 INDIGO HILLS DR UNIT 5 |
| City | CORONA |
| State | CA |
| Zip Code | 92879-7889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
| 1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1841659117 | Sleep & Cpap Center Inc | Clinical Medical Laboratory | 800 Magnolia Avenue, Suite 101, Corona, CA 92879 | 2016-02-16 |
| 1497151203 | Rafik Riad | Dentist | 817 Villa Montes Cir., Corona, CA 92879 | 2014-11-06 |
| 1326441551 | Ying Zhang Howe | Acupuncturist | 720 Magnolia Ave. #b3, Corona, CA 92879 | 2014-10-02 |
| 1164823233 | Piyush Sakhareliya | Pharmacist | 2230 Treemont Pl, Apt#207, Corona, CA 92879 | 2014-09-09 |
| 1053711739 | Brandice Medical Associates Inc | Clinical Medical Laboratory | 13575 Jasper Loop, Corona, CA 92879 | 2014-08-29 |
| 1982956058 | Nja Therapy Services, Inc. | Day Training, Developmentally Disabled Services | 1655 E 6th St Suite 204, Corona, CA 92879 | 2012-10-12 |
| 1356616064 | Corona Surgical LLC | Clinic/Center | 2370 Anselmo Drive, Corona, CA 92879 | 2012-03-13 |
| Find all providers in zip 92879 | ||||
| Taxonomy Code | 163WN0002X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Neonatal Intensive Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194094664 | Libby Sebastian | Registered Nurse | 14305 Goose Street, Corona, CA 92880-0922 | 2011-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497370704 | Amy Gorence | Registered Nurse | 2385 Sheri Pl, Alpine, CA 91901-4805 | 2020-06-11 |
| 1497307813 | Ivonne Jeanette Garcia | Registered Nurse | 9800 Marklein Ave, North Hills, CA 91343-2131 | 2019-07-16 |
| 1912464017 | Betty Nyantakyiwaah Boateng | Registered Nurse | 7313 Fallbrook Ave, West Hills, CA 91307-2105 | 2019-02-25 |
| 1306302591 | Rosalind Susan Wiggins | Registered Nurse | 4323 Palo Verde Ave, Lakewood, CA 90713-2948 | 2019-02-13 |
| 1376008292 | Christina Thai | Registered Nurse | 2920 International Blvd, Oakland, CA 94601-2228 | 2019-02-05 |
| 1295218212 | Tran T Tran | Registered Nurse | 415 W Carroll Ave Ste 201, Glendora, CA 91741-4208 | 2018-09-14 |
| 1700239472 | Cynthia M Serrano | Registered Nurse | 13065 Peyton Dr Ste D, Chino Hills, CA 91709-6019 | 2016-07-19 |
| 1366803140 | Carolyn Burnham | Registered Nurse | 157 Brentwood Drive, Lake Arrowhead, CA 92352 | 2016-03-08 |
| 1306205109 | Kisha Fausett | Registered Nurse | 3020 Childrens Way # Mc5008, San Diego, CA 92123-4223 | 2016-02-22 |
| 1801254354 | Claire Choice | Registered Nurse | 12 Greco Aisle, Irvine, CA 92614-0272 | 2016-01-29 |
| 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.