KELLY AMANDA BRUNO (NPI# 1891130993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891130993 |
| Entity Type | Individual |
| Full Name | KELLY AMANDA BRUNO |
| Credential | M.D. |
| Practice Address |
200 W Arbor Dr San Diego CA 92103 |
| Mailing Address |
Po Box 232410 San Diego CA 92193-2410 |
| Practice Telephone | 8009268273 |
| Practice Fax Number | 8885398781 |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 147881 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Manning Dr, Department of Anesthesiology, Chapel Hill, NC 275144220 | 9199665136 | 9199664873 |
| 3350 La Jolla Village Dr, San Diego, CA 921614220 | 8585528585 | 8585528585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154857639 | Kelly Bruno | Specialist/Technologist | 1181 Lloyd Ave, Aurora, OH 44202-7115 | 2017-05-03 |
| 1720423445 | Kelly Lyn Bruno | Licensed Practical Nurse | 26 Marycrest Lane(right), West Seneca, NY 14224 | 2013-05-08 |
| 1104169051 | Kelly Anne Bruno | Physical Therapist | 5101 Prosperity Church Rd, Charlotte, NC 28269-8732 | 2013-03-28 |
| Street Address |
200 W ARBOR DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043215502 | Alfredo B. Tiu | Internal Medicine | 200 W Arbor Dr, Owen Clinic, San Diego, CA 92103-9001 | 2005-06-20 |
| 1841806536 | Kevin Thai Nguyen | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-09-18 |
| 1003421256 | Jessica Lynette Montoya | Psychologist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-09-14 |
| 1013522838 | Julianna L Gorder | Psychologist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-09-09 |
| 1992318828 | Yodit Mekonnen Teklu | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-08-29 |
| 1356954283 | Dalia Siada | Dietitian, Registered | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-08-29 |
| 1699383588 | Rachael Ashley Gordon | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-07-17 |
| 1124646906 | Jeffrey David Bernstein | Student in an Organized Health Care Education/Training Program | 200 W Arbor Dr, Mc 1234, San Diego, CA 92103-9000 | 2020-07-08 |
| 1639796071 | Darcie D Brown | Marriage & Family Therapist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-07-01 |
| 1194340919 | Han B Dinh | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154815264 | Innovative Anesthesia Consultants PC | Anesthesiology | 8525 Gibbs Dr Ste 208, San Diego, CA 92123-1765 | 2018-06-21 |
| 1720575103 | S Michael Millbern Md Medical Corporation | Anesthesiology | 8929 University Center Ln Ste 103, San Diego, CA 92122-1007 | 2018-04-20 |
| 1073979324 | Michael Patrick Keating | Anesthesiology | 4734 Panorama Dr, San Diego, CA 92116-1239 | 2016-01-01 |
| 1679956031 | George Zhu | Anesthesiology | 15134 Cross Stone Dr, San Diego, CA 92127-4449 | 2015-07-02 |
| 1902283443 | Thomas Onyia | Anesthesiology | 200 W Arbor Dr # Mc8770, San Diego, CA 92103-1911 | 2015-05-05 |
| 1063807154 | Peter Wingfield | Anesthesiology | Uc San Diego Health - Anesthesiology, 200 West Arbor Drive, Mc 8770, San Diego, CA 92103 | 2015-04-06 |
| 1508290586 | Jason Alan Kanel | Anesthesiology | 3626 Ruffin Rd # 604, San Diego, CA 92123-1810 | 2013-08-27 |
| 1104259183 | Rajesh Reddy | Anesthesiology | 200 W Arbor Dr # 801, Ucsd Dept of Anesthesiology, San Diego, CA 92103-1911 | 2013-08-14 |
| 1467795682 | Vinod Krishnan Singaram | Anesthesiology | 200 W Arbor Dr # Mc8829, San Diego, CA 92103-1911 | 2013-04-05 |
| 1013259571 | Rosemarie Marshall Johnson | Anesthesiology | 2919 Brant St, San Diego, CA 92103-5529 | 2013-03-22 |
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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.