Organization Active NPI

Bruce M Crabtree MD Inc

  • Anesthesiology Physician
  • La Mesa, CA
National Provider Identifier
1134381007
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G46296 Issued in CA
Legal business name
BRUCE M CRABTREE MD INC
Practice address
8881 Fletcher Pkwy
La Mesa, CA 91942-3134
Phone
(619) 698-0930
NPI assigned
Jul 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Bruce M Crabtree, MD
Title
President
Phone
(858) 495-0971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X G46296 CA Primary

Addresses

Primary practice location

8881 Fletcher Pkwy
La Mesa, CA 91942-3134

Mailing address

PO Box 969096
San Diego, CA 92196-9096
Phone (858) 495-0971

National Provider Directory

National Provider Directory

Locations

5565 Grossmont Center Dr
Ste 250B
La Mesa, CA 91942

5565 Grossmont Center Dr
#250B
La Mesa, CA 91942
Phone (619) 462-8620

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1134381007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 969096",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921969096",
            "telephone_number": "858-495-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423134",
            "telephone_number": "619-698-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE M CRABTREE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "CRABTREE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-495-0971",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G46296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.