Individual provider Active NPI

Amanda Brusca

  • Genetic Counselor (M.S.)
  • Simi Valley, CA
National Provider Identifier
1437903168
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
Practice address
222 Cliffwood Dr
Simi Valley, CA 93065-6260
Phone
(805) 428-1093
NPI assigned
Apr 17, 2024
Last updated
Apr 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X Primary

Addresses

Primary practice location

222 Cliffwood Dr
Simi Valley, CA 93065-6260

Mailing address

222 Cliffwood Dr
Simi Valley, CA 93065-6260
Phone (805) 428-1093

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

45 E River Park PL W
Suite 507
Fresno, CA 93720-1565

PO Box
Los Angeles, CA 90088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1437903168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 CLIFFWOOD DR",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656260",
            "telephone_number": "805-428-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 CLIFFWOOD DR",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656260",
            "telephone_number": "805-428-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSCA",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.