Active NPI
Andrea Bronzo, B.A.
- Prevention Professional
- Oakland, CA
National Provider Identifier
1255566337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- PSY26664
- Practice address
- 5349 College Ave
Oakland, CA 94618-1416 - Phone
- (510) 457-0071
- NPI assigned
- May 19, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Prevention Professional | 405300000X | PSY26664 | CA | Primary |
Addresses
Primary practice location
5349 College Ave
Oakland, CA 94618-1416
Mailing address
PO Box 1195
Woodacre, CA 94973-1195
Phone (510) 541-9321
Other names 1
- Ms. Andy Bronzo
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
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY26664 | CA | MD | Prevention Professional |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avant Inpatient Services Medical Group, 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506384000000",
"number": "1255566337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1195",
"city": "WOODACRE",
"state": "CA",
"postal_code": "949731195",
"telephone_number": "510-541-9321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5349 COLLEGE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946181416",
"telephone_number": "510-457-0071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRONZO",
"first_name": "ANDREA",
"name_prefix": "Ms.",
"credential": "B.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-19",
"last_updated": "2017-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "CA",
"license": "PSY26664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDY",
"last_name": "BRONZO",
"prefix": "MS.",
"credential": "B.A.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.