Bruce Sahba MD a Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

A31591 Issued in CA

Legal business name

BRUCE SAHBA MD A MEDICAL CORPORATION

Doing business as

Bruce Sahba MD

Practice address

3865 Clairemont Dr
San Diego, CA 92117-5831

Phone

(858) 272-2300

Fax

(858) 272-2340

NPI assigned

Dec 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Richard F Flaks

Title

Biller

Phone

(619) 660-2770

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bruce Sahba MD Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1033393467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 CLAIREMONT DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175831",
            "telephone_number": "858-272-2300",
            "fax_number": "858-272-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 CLAIREMONT DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175831",
            "telephone_number": "858-272-2300",
            "fax_number": "858-272-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE SAHBA MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "FLAKS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "619-660-2770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A31591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0081310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bruce Sahba MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Sue Brubaker, RN
• Kaitlyn Bruccheri, AU.D.
• Bruce a. Brazinsky, a Podiatry Corporation (Bruce A. Brazinsky, DPM)
• Bruce E. Blakely, D.C., a Medical Corporation
• Bruce R. Brumm, D.D.S., Inc.
• Nathaniel Bruce-Black, HAD
• Angelea Marie Bruce, RD
• Bre'Aja Bruce, RN
• Janaia Bruce
• Margaret Maeve Bruce

• Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.