Active NPI
Brian David Bischoff, RN
- Registered Nurse
- Covina, CA
National Provider Identifier
1356985451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 718027
- Practice address
- 1161 E Covina Blvd
Covina, CA 91724-1523 - Phone
- (626) 859-5273
- Fax
- (626) 608-2645
- NPI assigned
- Oct 31, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 718027 | CA | Primary |
Addresses
Primary practice location
1161 E Covina Blvd
Covina, CA 91724-1523
Mailing address
1317 Del Haven CT
Redlands, CA 92374-5408
Phone (909) 936-2228
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 718027 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1356985451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 DEL HAVEN CT",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923745408",
"telephone_number": "909-936-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1161 E COVINA BLVD",
"city": "COVINA",
"state": "CA",
"postal_code": "917241523",
"telephone_number": "626-859-5273",
"fax_number": "626-608-2645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISCHOFF",
"first_name": "BRIAN",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-31",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "718027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.