Bryan Haas DC, Inc.
Organization Active NPI Family Nurse Practitioner · Montrose, CA
NPI 1265642136 · NPPES record last updated Jul 7, 2022
Key facts
- NPI
- 1265642136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- BRYAN HAAS DC, INC.
- Practice address
- 2255 Honolulu Ave Ste 2a
Montrose, CA 91020-1635 - Phone
- (818) 957-1217
- Fax
- (818) 957-4011
- NPI assigned
- May 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Bryan James Haas, DC
- Title
- Chiropractor
- Phone
- (818) 249-2300
Practitioners 5
-
Bryan James Haas, DC
-
Roberto Contreras II, M.D.
-
Garrett G Glapa, NP
-
Jose Luis Duarte, PA-C
-
Cody Jay Tapp, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150306001798 | CA | Part B Supplier - Clinic/Group Practice | 6406172543 |
Receives reassigned benefits from 1 practitioner Practice locations: Montrose, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | |||
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
2255 Honolulu Ave Ste 2a
Montrose, CA 91020-1635
Mailing address
8046 Brownstone St
Sunland, CA 91040-2101
Phone (818) 957-1217
Other providers in Montrose, CA
- Mary Bothwell
- Debra Renee Bowden-Sierra
- Garo Boyajian
- Haley Christine Brannan
- Theresa Lynn Brown
- Bullos Laboratories Inc
- Todd Jacob Burgener
- Calm Mind Therapy, a Licensed Clinical Social Worker Corporation
- Cynthia Cancelosi
- Judee H Carrico
All providers in Montrose, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.