ANDREW BRUCKER (NPI# 1912591140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912591140 |
| Entity Type | Individual |
| Full Name | MR. ANDREW BRUCKER |
| Gender | Male |
| Practice Address | 3787 S Vermont Ave Los Angeles CA 90007-4203 |
| Practice Telephone | 3237662345 |
| Mailing Address | 3031 S Vermont Ave Los Angeles CA 90007-3033 |
| Mailing Telephone | 3233732400 |
| Certification Date | 2021-03-01 |
| Enumeration Date | 2021-02-28 |
| Last Update Date | 2021-03-01 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 101YM0800X | Counselor Specialization: Mental Health | CA | Behavioral Health & Social Service Providers |
| Street Address | 3787 S VERMONT AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90007-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003045980 | Genevieve Giselle Simari | Counselor · Mental Health | 3787 S Vermont Ave, Los Angeles, CA 90007-4203 | 2009-07-13 |
| 1982282471 | Tywanna Renee Culpepper · Renee Culpepper | Rehabilitation Practitioner | 3787 S Vermont Ave, Los Angeles, CA 90007-4203 | 2021-03-29 |
| 1316535867 | Lemoyne Scott | Rehabilitation Practitioner | 3787 S Vermont Ave, Los Angeles, CA 90007-4203 | 2021-01-08 |
| 1124614193 | Jane Kwon | Counselor · Mental Health | 3787 S Vermont Ave, Los Angeles, CA 90007-4203 | 2020-12-14 |
| 1215534177 | Celeste Covarrubias-Macias | Student in an Organized Health Care Education/Training Program | 3787 S Vermont Ave, Los Angeles, CA 90007-4203 | 2020-10-05 |
| 1548876279 | Jacqueline Noelle Munoz Geoghegan | Student in an Organized Health Care Education/Training Program | 3787 S Vermont Ave, Los Angeles, CA 90007-4203 | 2020-09-18 |
| 1609480698 | Annette Bermejo | Student in an Organized Health Care Education/Training Program | 3787 S Vermont Ave, Los Angeles, CA 90007-4203 | 2020-09-07 |
| 1205446408 | Shannon Martha | Student in an Organized Health Care Education/Training Program | 3787 S Vermont Ave, Los Angeles, CA 90007-4203 | 2020-08-04 |
| 1053948414 | Emily Mesta | Case Manager/Care Coordinator | 3787 S Vermont Ave, Los Angeles, CA 90007-4203 | 2020-03-25 |
| 1316570997 | Mara Lopez | Counselor · Mental Health | 3787 S Vermont Ave, Los Angeles, CA 90007-4203 | 2020-02-21 |
| Find all providers in the same address | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093278632 | St. John's Well Child and Family Center, Inc. | Clinic/Center · Community Health | 1060 West Exposition Blvd., Los Angeles, CA 90007 | 2019-04-10 |
| 1639690803 | Michelle Pittman | Registered Nurse · Ambulatory Care | 2829 South Grand Ave., H. Claude Hudson Chc, Los Angeles, CA 90007 | 2017-06-28 |
| 1568983773 | Debbie Sharon Gillett | Registered Nurse · Ambulatory Care | 2829 South Grand Avenue, H. Claude Hudson Health Center, Los Angeles, CA 90007 | 2017-06-28 |
| 1043749435 | Tamika Brown | Driver | 2947 Van Buren Place, Los Angeles, CA 90007 | 2017-06-08 |
| 1356891857 | Eli Gendler | General Practice | 2501 South Hill St., Los Angeles, CA 90007 | 2016-10-07 |
| 1770037715 | Jennifer R Knutson | Nurse Practitioner | 2409 S. Vermont Ave., Los Angeles, CA 90007 | 2016-08-08 |
| 1104279645 | Leslie Chopin-Bonilla | Social Worker · Clinical | 3031 S. Vermont Ave, Los Angeles, CA 90007 | 2016-07-20 |
| 1386006088 | Matthew Welzenbach | Internal Medicine | St. John's Well Child, 1910 Magnolia Ave #101, Los Angeles, CA 90007 | 2016-03-22 |
| 1316315765 | Gary L Nollins | Counselor · Addiction (Substance Use Disorder) | 145 W 22ns Street, Los Angeles, CA 90007 | 2015-09-02 |
| 1861882698 | Tarlan, P. Akhavan Dds A Prof Corp | Dentist | 2407 South Vermont Ave, Los Angeles, CA 90007 | 2015-02-02 |
| Find all providers in zip 90007 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033799432 | Jennifer Ribeiro | 4401 Crenshaw Blvd Ste 300, Los Angeles, CA 90043-1200 | 2021-04-09 | |
| 1528644739 | Isaiah Mcgee | 6440 Orange St Apt 106, Los Angeles, CA 90048-4754 | 2021-03-19 | |
| 1659966976 | Kaden Medical of Ca, P.C. | 818 West Seventh Street, Suite 930, Los Angeles, CA 90017 | 2021-03-08 | |
| 1265027973 | Melanie Rashbaum | 1555 Vine St Apt 583v, Los Angeles, CA 90028-8584 | 2021-03-04 | |
| 1972198919 | Alexis Conrad | 332 N Van Ness Ave, Los Angeles, CA 90004-1524 | 2021-03-02 | |
| 1861085235 | In Touch Marriage and Family Therapy Inc. | 1400 N Fuller Ave Unit 8, Los Angeles, CA 90046-4792 | 2021-02-17 | |
| 1225628266 | Jeanne Kriser | 1000 Veteran Ave Ste 25-57, Los Angeles, CA 90024-2704 | 2021-01-23 | |
| 1386234490 | Kim Glaser Selbert | 3200 S Barrington Ave Apt 4, Los Angeles, CA 90066-2502 | 2021-01-22 | |
| 1285224816 | Zeynep Irmak Atesoglu | 12665 Village Ln Apt 1320, Los Angeles, CA 90094-2788 | 2021-01-18 | |
| 1578152179 | Testimonial Community Love Center | 5721 S Western Ave, Los Angeles, CA 90062-2714 | 2021-01-18 | |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801969217 | Alice Brucker Sadow · Alice Brucker Benner | Clinical Nurse Specialist | 500 Vine Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2006-11-15 |
| 1164814281 | Martha Edie Brucker · M. Edie Brucker | Nurse Practitioner · Adult Health | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2015-02-26 |
| 1104039460 | Michele Edith Brucker-Collier · Michele Edith Brucker | Dentist | 1480 Ocean Ave, Sea Bright, NJ 07760-2226 | 2007-05-07 |
| 1750703609 | Ann Brucker | Speech-Language Pathologist | 912 S Gay St, Knoxville, TN 37902-1814 | 2014-01-13 |
| 1912553371 | Hanna R Brucker | Chiropractor | 45 School St, Boston, MA 02108-3206 | 2019-08-12 |
| 1194997601 | Justin Lee Brucker | Radiology · Neuroradiology | 600 Highland Ave, Madison, WI 53792-1507 | 2008-03-25 |
| 1740600642 | Ryan Brucker I | Case Manager/Care Coordinator | 350 Elk St, Rapid City, SD 57701-7351 | 2014-04-18 |
| 1619229952 | Katrin Brianne Brucker | Optometrist | 341 1st St E, Dickinson, ND 58601-5216 | 2012-10-10 |
| 1558614347 | Lynn Ann Brucker | Registered Nurse | 777 Maryvale Dr, Cheektowaga, NY 14225-2712 | 2012-10-18 |
| 1366841827 | Benjamin Brucker | Counselor · Mental Health | 105 W 8th Ave Ste 434c, Spokane, WA 99204-2318 | 2014-08-20 |
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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.