Organization Active NPI

Bruce H. Van Vranken, M.D., Inc

  • Health Service Clinic/Center
  • Lake Forest, CA
National Provider Identifier
1467674234
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
G32570 Issued in CA
Legal business name
BRUCE H. VAN VRANKEN, M.D., INC
Doing business as
Lake Forest Family Doctor
Practice address
24400 Muirlands Blvd
Suite F
Lake Forest, CA 92630-3946
Phone
(949) 581-0400
Fax
(949) 581-0694
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bruce Harris Van Vranken, M.D.
Title
President
Phone
(949) 581-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X G32570 CA Primary

Addresses

Primary practice location

24400 Muirlands Blvd
Suite F
Lake Forest, CA 92630-3946

Mailing address

24400 Muirlands Blvd
Suite F
Lake Forest, CA 92630-3946

Other names 1

  • Lake Forest Family Doctor Doing business as

National Provider Directory

National Provider Directory

Locations

24400 Muirlands Blvd
Ste F
Lake Forest, CA 92630
Phone (949) 581-0400

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467674234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24400 MUIRLANDS BLVD",
            "address_2": "SUITE F",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303946",
            "fax_number": "949-581-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24400 MUIRLANDS BLVD",
            "address_2": "SUITE F",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303946",
            "telephone_number": "949-581-0400",
            "fax_number": "949-581-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE H. VAN VRANKEN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN VRANKEN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-581-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "G32570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Forest Family Doctor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.