Active NPI
Yovana Graciela Bruno, MD
- Pediatrics Physician
- Duarte, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A80031
- Practice address
- 1750 Huntington Dr Ste D
Duarte, CA 91010 - Phone
- (626) 930-1600
- Fax
- (626) 531-6920
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | A80031 | CA | |
| Pediatrics Physician | 208000000X | A80031 | CA | Primary |
Addresses
Primary practice location
1750 Huntington Dr Ste D
Duarte, CA 91010
Mailing address
1 Via Ceramica
San Clemente, CA 92673-7012
Phone (626) 841-2574
Other practice location 1
3553 Camino Mira Costa Ste D
San Clemente, CA 92672-3512
Phone (949) 200-7737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A800310 | Other | CA | MEDICAL PROVIDER NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A80031 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yovana Bruno Pediatric Care Inc. | Adolescent Medicine | Current | Accepting new patients |
| Usc Arcadia Hospital | Past | Accepting new patients | |
| White Memorial Medical Center | Past | Accepting new patients |
Locations
1701 E Cesar E Chavez Ave
Ste 306
Los Angeles, CA 90033
Phone (323) 225-2550
3553 Camino Mira Costa
Ste D
San Clemente, CA 92672
Phone (949) 200-7737
Organizations & group practices 3
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.
-
dba Ybpc Medical Clinic Inc
- Pediatric Adolescent Medicine Physician
- San Clemente, CA
- NPI 1760689426
-
- Rehabilitation Hospital Unit
- Arcadia, CA
- NPI 1164410593
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1215927470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528416000000",
"number": "1093876245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 VIA CERAMICA",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926737012",
"telephone_number": "626-841-2574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 HUNTINGTON DR STE D",
"city": "DUARTE",
"state": "CA",
"postal_code": "91010",
"telephone_number": "626-930-1600",
"fax_number": "626-531-6920"
}
],
"practiceLocations": [
{
"address_1": "3553 Camino Mira Costa Ste D",
"address_purpose": "LOCATION",
"city": "San Clemente",
"state": "CA",
"postal_code": "926723512",
"country_code": "US",
"telephone_number": "949-200-7737",
"fax_number": "949-336-1949",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUNO",
"first_name": "YOVANA",
"middle_name": "GRACIELA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2018-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "CA",
"license": "A80031",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A80031",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL PROVIDER NUMBER",
"identifier": "00A800310",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duarte, CA
- Rachel Brady, LCSW, MPH
- Adam Phillip Gordon Braun, MD
- Gabriela Bravo, LCSW
- Deborah A. Briseno-Toomey, MSN, PNP
- Broadwater Community Care Center, LLC (Community Care Center)
- Andrea Marie Bubbert
- Justine Jade Buchholz, FNP-BC
- Lihua Elizabeth Budde, MD, PHD
- Bueno and Sons Inc. (Enhancedcare Home Health)
- Lilly Areli Bueno Ventura
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.