Organization Active NPI

Bruce J Sachs MD Professional Corporation

  • Internal Medicine Physician
  • Encinitas, CA
National Provider Identifier
1518279207
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A45375 Issued in CA
Legal business name
BRUCE J SACHS MD PROFESSIONAL CORPORATION
Doing business as
Bruce J Sachs MD Professional Corporation
Practice address
501 N El Camino Real
Ste 100
Encinitas, CA 92024-1335
Phone
(760) 944-6520
Fax
(760) 944-6525
NPI assigned
Jul 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Authorized official

Name
Dr. Bruce J Sachs, M.D.NPI 1174537062
Title
Owner
Phone
(760) 944-6520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A45375 CA Primary

Addresses

Primary practice location

501 N El Camino Real
Ste 100
Encinitas, CA 92024-1335

Mailing address

501 N El Camino Real
Ste 100
Encinitas, CA 92024-1335
Phone (760) 944-6520

Other names 1

  • Bruce J Sachs MD Professional Corporation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100925000137 CA Part B Supplier - Clinic/Group Practice 4587780739 Receives reassigned benefits from 1 practitioner
Practice locations: Encinitas, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0979065Bruce J Sachs MD501 N El Camino Real Ste 100, Encinitas, CA 92024Certificate of waiverOct 11, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1518279207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N EL CAMINO REAL",
            "address_2": "STE 100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241335",
            "telephone_number": "760-944-6520",
            "fax_number": "760-944-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N EL CAMINO REAL",
            "address_2": "STE 100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241335",
            "telephone_number": "760-944-6520",
            "fax_number": "760-944-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE J SACHS MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "SACHS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-944-6520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A45375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bruce J Sachs MD Professional Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.