Bruce Lattyak (NPI# 1629245238, PAC ID# 6002976107) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1629245238 |
| PAC ID by PECOS | 6002976107 |
| Professional Enrollment ID | I20081119000510 |
| Full Name | Bruce Lattyak |
| Organization Legal Name | BRUCE V LATTYAK M.D., INC. |
| Address |
300 Sierra College Dr Suite 240 Grass Valley CA 95945-5086 |
| Phone Number | 5302733400 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | OTOLARYNGOLOGY |
| Group Practice PAC ID | 2466514245 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050150 | SIERRA NEVADA MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 300 Sierra College Dr, Suite 240, Grass Valley, CA 95945-5086 | 5302733400 | BRUCE V LATTYAK M.D., INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 80% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 84% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 33% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 5% | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 52% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 32% | |
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 45% |
| Organization Legal Name | BRUCE V LATTYAK M.D., INC. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda K Monroe | Physician Assistant | Bruce V Lattyak M.d., Inc. | 300 Sierra College Dr, Suite 240, Grass Valley, CA 95945-5086 |
| Street Address |
300 SIERRA COLLEGE DR SUITE 240 |
| City | GRASS VALLEY |
| State | CA |
| Zip | 95945-5086 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Lee Cook | Podiatry | 300 Sierra College Dr, Suite 270, Grass Valley, CA 95945-5083 | |
| Aslam Godil | Gastroenterology | Sierra Nevada Gastroenterology Medical Associates, Inc. | 300 Sierra College Dr, 105 Med Assocs Inc, Grass Valley, CA 95945-5084 |
| Rebecca J Sonu | Pathology | Sierra Nevada Gastroenterology Medical Associates, Inc. | 300 Sierra College Dr, 105 Med Assocs Inc, Grass Valley, CA 95945-5084 |
| Marion Gilbert | Physical Therapy | Spring Hill Physical Therapy PC | 300 Sierra College Dr, Suite 165, Grass Valley, CA 95945-5083 |
| Kevin B Hill | Gastroenterology | Sierra Nevada Gastroenterology Medical Associates, Inc. | 300 Sierra College Dr, 105 Med Assocs Inc, Grass Valley, CA 95945-5084 |
| Melanie Louise Conley | Physical Therapy | Spring Hill Physical Therapy PC | 300 Sierra College Dr, Suite 165, Grass Valley, CA 95945-5083 |
| Neva Monigatti Lake | Family Medicine | 300 Sierra College Dr, Suite 170, Grass Valley, CA 95945-5083 | |
| Marte F Asumen | Physical Therapy | Spring Hill Physical Therapy PC | 300 Sierra College Dr, Suite 165, Grass Valley, CA 95945-5083 |
| Andrew Chang | Gastroenterology | Sierra Nevada Gastroenterology Medical Associates, Inc. | 300 Sierra College Dr, 105 Med Assocs Inc, Grass Valley, CA 95945-5084 |
| Linda K Monroe | Physician Assistant | Bruce V Lattyak M.d., Inc. | 300 Sierra College Dr, Suite 240, Grass Valley, CA 95945-5086 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D Andya | Internal Medicine | 101 Margaret Lane A, Grass Valley, CA 95945 | |
| Dionne Mussetto | Clinical Social Worker | 173 Apple Ave, Grass Valley, CA 95945-4016 | |
| Kimberly S Bonney | Qualified Audiologist | Kimberly Bonney Aud Inc | 457 Sutton Way, Grass Valley, CA 95945-4102 |
| Charles Timothy Sanders | Qualified Audiologist | Kimberly Bonney Aud Inc | 457 Sutton Way, Grass Valley, CA 95945-4102 |
| Tracy M Volkman | Qualified Audiologist | Kimberly Bonney Aud Inc | 457 Sutton Way, Grass Valley, CA 95945-4102 |
| Sol J Barros | Qualified Audiologist | 101 Margaret Ln, Suite D, Grass Valley, CA 95945-4207 | |
| Robert N Lowe | Internal Medicine | 101 Margaret Ln B, Grass Valley, CA 95945-4207 | |
| Allyssa Ashley Fennelly | Chiropractic | 152 Mill St, Suite E, Grass Valley, CA 95945-4771 | |
| Judith A Fox | Chiropractic | 152 Mill St E, Grass Valley, CA 95945-4771 | |
| Pa Soua Xiong | Family Medicine | Sierra Nevada Primary Care Physicians A Medical Corporation | 140 Litton Dr, Suite 100, Grass Valley, CA 95945-5078 |
| Find all physicians in zip 95945 | |||
| City | GRASS VALLEY |
| Zip Code | 95945 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | GRASS VALLEY + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Bruce Lattyak.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.