DR. BRUCE J BIEDERMAN (NPI# 1790780997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790780997 |
| Entity Type | Individual |
| Full Name | DR. BRUCE J BIEDERMAN |
| Credential | MD |
| Practice Address |
4002 Vista Way Oceanside CA 92056-4506 |
| Mailing Address |
8745 Aero Dr Suite 200 San Diego CA 92123-1761 |
| Practice Telephone | 7609404055 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2014-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
25MA07983200 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0091693 | 05 |
| Street Address |
4002 VISTA WAY |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92056-4506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629686241 | Antony and Paul Healthcare, Inc | Internal Medicine | 4002 Vista Way, Oceanside, CA 92056-4506 | 2020-07-20 |
| 1780200204 | Avalon Scopellite | Speech-Language Pathologist | 4002 Vista Way, Oceanside, CA 92056-4506 | 2020-06-20 |
| 1457919367 | Michelle Mccaslin | Speech-Language Pathologist | 4002 Vista Way, Oceanside, CA 92056-4506 | 2019-06-05 |
| 1467926295 | Michael Demasco | Emergency Medicine | 4002 Vista Way, Oceanside, CA 92056-4506 | 2019-01-15 |
| 1083198238 | Christopher Roy Smith Carman | Counselor | 4002 Vista Way, Oceanside, CA 92056-4506 | 2018-09-23 |
| 1033697669 | Hospitalist Medicine Physicians of California - Oceanside | Internal Medicine | 4002 Vista Way, Oceanside, CA 92056-4506 | 2018-08-06 |
| 1750879714 | Patricia Matthews | Dietitian, Registered | 4002 Vista Way, Oceanside, CA 92056-4506 | 2018-04-25 |
| 1942707898 | Andrew Fischer Md LLC | Emergency Medicine | 4002 Vista Way, Oceanside, CA 92056-4506 | 2018-04-08 |
| 1316447246 | Vuong Nguyen | Dietitian, Registered | 4002 Vista Way, Oceanside, CA 92056-4506 | 2018-02-16 |
| 1891211124 | Jennifer Liong | Physical Therapist | 4002 Vista Way, Oceanside, CA 92056-4506 | 2017-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174148639 | Universal Health Net San Diego | Hospice Care, Community Based | 4155 Oceanside Blvd, Suite 240, Oceanside, CA 92056 | 2020-06-10 |
| 1750913216 | Jared Pomerenke | Counselor | 3923 Warning Rd., Suite D, Oceanside, CA 92056 | 2020-02-12 |
| 1700424728 | Donna Jean Trapolino | Dental Hygienist | Bldg414006 Nelson Rd, Camp Pendleton, CA 92056 | 2019-12-20 |
| 1679122717 | David King Ping | Registered Nurse | 3609 Ocean Ranch Blvd Street 104, Oceanside, CA 92056 | 2019-09-11 |
| 1396254058 | Alison Schurman | Nurse Practitioner | 200 Mercy Circle Dr, Department of Pediatrics, Oceanside, CA 92056 | 2017-09-26 |
| 1407212665 | Yolanda Orozco Gaeta | Marriage & Family Therapist | 3923 Waring Road Ste D, North Coastal Treatment Recovery Center, Oceanside, CA 92056 | 2016-01-04 |
| 1871982751 | Wael Wassef | Pharmacist | 4755 Oceanside Blvd Ste 130, Oceanside, CA 92056 | 2015-01-15 |
| 1639501869 | William Stacy Parks | Family Medicine | 2376 Back Nine St., Oceanside, CA 92056 | 2013-07-30 |
| 1760725766 | Great Expectations Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4825 Glenhaven Drive, Oceanside, CA 92056 | 2013-03-28 |
| 1649533993 | Justin Bowles | Family Medicine | 1761 Avenida Segovia, Oceanside, CA 92056 | 2012-06-21 |
| Find all providers in zip 92056 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255418448 | Jeffrey Steven Miller | Radiology | 4002 Vista Way, Oceanside, CA 92056-4506 | 2006-11-01 |
| 1740360551 | North County Radiology Medical Group | Radiology | 4002 Vista Way, Oceanside, CA 92056-4506 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795881 | Valerie Rondone | Radiology | 2574 Raleigh Way, El Dorado Hills, CA 95762-6973 | 2020-09-23 |
| 1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
| 1417416124 | Adventist Health Physicians Network | Radiology | 155 Solano St Ste 101, Corning, CA 96021-3511 | 2019-03-13 |
| 1770068991 | Reham Aboughali | Radiology | 20349 Anza Ave Apt 27, Torrance, CA 90503-7410 | 2018-10-03 |
| 1962910513 | Excel Imaging Center Inc | Radiology | 13071 Brookhurst St Ste 100, Garden Grove, CA 92843-5514 | 2018-01-17 |
| 1467972315 | Radtech Services Inc | Radiology | 2826 Racine St, Simi Valley, CA 93065-2730 | 2017-06-22 |
| 1619363496 | Nathan Ashley | Radiology | 620 N Bonhill Rd, Los Angeles, CA 90049-2302 | 2015-04-08 |
| 1851709984 | Reveal Diagnostics, LLC | Radiology | 6080 Hellyer Ave, Suite 175, San Jose, CA 95138-1052 | 2014-08-01 |
| 1770912784 | William George Hayden | Radiology | 20 Ciervos Rd, Portola Valley, CA 94028-8107 | 2013-11-11 |
| 1215362942 | Reveal Diagnostics LLC | Radiology | 4217 Piedmont Avenue, Suite B, Oakland, CA 94611 | 2013-09-12 |
| 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.