Individual provider Active NPI

Bruce T Adornato, M.D.

  • Neurology Physician
  • Palo Alto, CA
National Provider Identifier
1366514341
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G025289 Issued in CA
Practice address
1101 Welch Rd
Suite C5
Palo Alto, CA 94304-1904
Phone
(650) 324-4300
Fax
(650) 329-0788
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G025289 CA Primary

Addresses

Primary practice location

1101 Welch Rd
Suite C5
Palo Alto, CA 94304-1904

Mailing address

1101 Welch Rd
Suite C5
Palo Alto, CA 94304-1904
Phone (650) 324-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2013 through Jan 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25289CAMDClinical Social Worker
G025289CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kiser Innate Power Chiropractic 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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366514341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 WELCH RD",
            "address_2": "SUITE C5",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041904",
            "telephone_number": "650-324-4300",
            "fax_number": "650-329-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WELCH RD",
            "address_2": "SUITE C5",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041904",
            "telephone_number": "650-324-4300",
            "fax_number": "650-329-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADORNATO",
        "first_name": "BRUCE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G025289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.