Active NPI
Bruce F. Mize, M.D., Inc.
- Gastroenterology Physician
- Santa Maria, CA
National Provider Identifier
1437359734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- G16927
- Legal business name
- BRUCE F. MIZE, M.D., INC.
- Practice address
- 116 S Palisade Dr Ste 306
Santa Maria, CA 93454-8906 - Phone
- (805) 614-9880
- Fax
- (805) 614-9881
- NPI assigned
- Jul 24, 2007
- Last updated
- Aug 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bruce Francis Mize, M.D.
- Title
- President
- Phone
- (805) 614-9880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | G16927 | CA | Primary |
Addresses
Primary practice location
116 S Palisade Dr Ste 306
Santa Maria, CA 93454-8906
Mailing address
116 S Palisade Dr
Suite 306
Santa Maria, CA 93454-8904
Phone (805) 614-9880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G169270 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
116 S Palisade Dr
Ste 306
Santa Maria, CA 93454
Phone (805) 614-9880
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Santa Maria, CA
- NPI 1306803572
-
- Gastroenterology Physician
- Newport News, VA
- NPI 1437204302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186272000000",
"number": "1437359734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 S PALISADE DR",
"address_2": "SUITE 306",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934548904",
"telephone_number": "805-614-9880",
"fax_number": "805-614-9881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 S PALISADE DR STE 306",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934548906",
"telephone_number": "805-614-9880",
"fax_number": "805-614-9881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUCE F. MIZE, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-24",
"last_updated": "2007-08-05",
"status": "A",
"authorized_official_last_name": "MIZE",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "FRANCIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "805-614-9880",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "G16927",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G169270",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.