Individual provider Active NPI

Bruce M Sachs, PHD

  • Psychologist
  • El Cajon, CA
National Provider Identifier
1225190085
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY14629 Issued in CA
Practice address
2338 Valley Mill Rd
El Cajon, CA 92020-1039
Phone
(619) 749-8062
Fax
(619) 749-8062
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY14629 CA Primary

Addresses

Primary practice location

2338 Valley Mill Rd
El Cajon, CA 92020-1039

Mailing address

2338 Valley Mill Rd
El Cajon, CA 92020-1039
Phone (619) 749-8062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070322000620 CA Practitioner - Clinical Psychologist 8426152976 Reassigns benefits to 1 organization
Practice locations: El Cajon, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8804 Balboa Ave
San Diego, CA 92123-1506
Phone (858) 637-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY14629CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of San Diego CurrentSince Dec 12, 2006 Accepting new patients

Locations

8804 Balboa Ave
San Diego, CA 92123
Phone (858) 637-3000

16776 Bernardo Center Dr
Ste 206
San Diego, CA 92128
Phone (858) 674-6441

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1225190085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 VALLEY MILL RD",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920201039",
            "telephone_number": "619-749-8062",
            "fax_number": "619-749-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 VALLEY MILL RD",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920201039",
            "telephone_number": "619-749-8062",
            "fax_number": "619-749-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHS",
        "first_name": "BRUCE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.