Organization Active NPI

Opulent Health & Wellness Inc

  • Addiction Medicine (Internal Medicine) Physician
  • Chico, CA
National Provider Identifier
1346903218
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
OPULENT HEALTH & WELLNESS INC
Practice address
95 Declaration Dr Ste 4
Chico, CA 95973-4916
Phone
(424) 384-3432
Fax
(833) 619-0632
NPI assigned
Oct 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Dr. Barbara Aleene Bruton, MDNPI 1730272527
Title
Ceo
Phone
(310) 817-2012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0401X Primary

Addresses

Primary practice location

95 Declaration Dr Ste 4
Chico, CA 95973-4916

Mailing address

4267 Marina City Dr Unit 1106
Marina del Rey, CA 90292-5812
Phone (310) 817-2012

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drbruton@hotmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211028000992 CA Part B Supplier - Clinic/Group Practice 6709274533 Receives reassigned benefits from 1 practitioner
Practice locations: Marina del Rey, CA

National Provider Directory

National Provider Directory

Locations

95 Declaration Dr
Ste 4
Chico, CA 95973
Phone (424) 384-3432

95 Declaration Dr
Ste 5
Chico, CA 95973
Phone (424) 384-3432

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1346903218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4267 MARINA CITY DR UNIT 1106",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925812",
            "telephone_number": "310-817-2012",
            "fax_number": "833-619-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 DECLARATION DR STE 4",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959734916",
            "telephone_number": "424-384-3432",
            "fax_number": "833-619-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPULENT HEALTH & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "BRUTON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ALEENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-817-2012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drbruton@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "organization email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "95 Declaration Dr Ste 4",
            "city": "Chico",
            "state": "CA",
            "country_code": "US",
            "postal_code": "959734916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.