Active NPI
Joseph Bruns
- Addiction (Substance Use Disorder) Counselor
- Pasadena, CA
National Provider Identifier
1043730880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1198570415
- Practice address
- 135 W Washington Blvd
Pasadena, CA 91103-2563 - Phone
- (626) 797-1124
- Fax
- (626) 398-9674
- NPI assigned
- Jun 22, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1198570415 | CA | Primary |
Addresses
Primary practice location
135 W Washington Blvd
Pasadena, CA 91103-2563
Mailing address
1230 N Marengo Ave
Pasadena, CA 91103-2217
Phone (626) 797-1124
Other practice location 1
253 E Claremont St
Pasadena, CA 91104-2803
Phone (626) 797-1124
Other practice location 2
225 Grandview St
Pasadena, CA 91104-2114
Phone (626) 797-1124
Other practice location 3
1230 N Marengo Ave
Pasadena, CA 91103-2217
Phone (626) 797-1124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1198570415 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grandview Foundation, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Pasadena, CA
- NPI 1669923611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1043730880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 N MARENGO AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911032217",
"telephone_number": "626-797-1124",
"fax_number": "626-398-9674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 W WASHINGTON BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911032563",
"telephone_number": "626-797-1124",
"fax_number": "626-398-9674"
}
],
"practiceLocations": [
{
"address_1": "253 E Claremont St",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911042803",
"country_code": "US",
"telephone_number": "626-797-1124",
"fax_number": "626-398-9674",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "225 Grandview St",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911042114",
"country_code": "US",
"telephone_number": "626-797-1124",
"fax_number": "626-398-9674",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1230 N Marengo Ave",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911032217",
"country_code": "US",
"telephone_number": "626-797-1124",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUNS",
"first_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1198570415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.