Individual provider Active NPI

Joseph Bruns

  • Addiction (Substance Use Disorder) Counselor
  • Pasadena, CA
National Provider Identifier
1043730880
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
R1198570415 Issued in CA
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
R1198570415CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.