Individual provider Active NPI

Susan Jarvis Brueheim

  • Case Management Registered Nurse
  • San Ramon, CA
National Provider Identifier
1528691227
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
351147 Issued in CA
Practice address
2409 Camino Ramon
San Ramon, CA 94583-4285
Phone
(925) 327-6864
Fax
(925) 327-6864
NPI assigned
Feb 20, 2020
Last updated
Feb 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 351147 CA Primary

Addresses

Primary practice location

2409 Camino Ramon
San Ramon, CA 94583-4285

Mailing address

PO Box 5080
San Ramon, CA 94583-0980
Phone (925) 327-6864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
351147CAMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Physicians Care Solutions, Inc. CurrentSince Aug 9, 2020 Accepting new patients
Hill Physicians Non Cin PPO PastSince Feb 23, 2020 Accepting new patients

Locations

2409 Camino Ramon
San Ramon, CA 94583
Phone (800) 445-5747

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1528691227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5080",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945830980",
            "telephone_number": "925-327-6864",
            "fax_number": "925-327-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 CAMINO RAMON",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834285",
            "telephone_number": "925-327-6864",
            "fax_number": "925-327-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUEHEIM",
        "first_name": "SUSAN",
        "middle_name": "JARVIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "351147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.