Organization Active NPI

Bruce F. Mize, M.D., Inc.

  • Gastroenterology Physician
  • Santa Maria, CA
National Provider Identifier
1437359734
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G16927 Issued in CA
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G169270MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.