Organization Active NPI

Bruce D. Moorstein, MD a Medical Corp

  • Surgery Physician
  • Oakland, CA
National Provider Identifier
1578645677
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A29377 Issued in CA
Legal business name
BRUCE D. MOORSTEIN, MD A MEDICAL CORP
Practice address
350 30TH St Ste 430
Oakland, CA 94609-3426
Phone
(510) 835-2070
Fax
(510) 835-2433
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Dr. Bruce David Moorstein, M.D.
Title
Physician
Phone
(510) 835-2070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X A29377 CA Primary

Addresses

Primary practice location

350 30TH St Ste 430
Oakland, CA 94609-3426

Mailing address

350 30TH St Ste 430
Oakland, CA 94609-3426
Phone (510) 835-2070

Other identifiers 1

IdentifierTypeStateIssuer
00A293770MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1578645677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 30TH ST STE 430",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093426",
            "telephone_number": "510-835-2070",
            "fax_number": "510-835-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 30TH ST STE 430",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093426",
            "telephone_number": "510-835-2070",
            "fax_number": "510-835-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE D. MOORSTEIN, MD A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "MOORSTEIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "510-835-2070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A29377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A293770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.