Alyssa Buccat

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

2230 Professional Dr Ste a
Santa Rosa, CA 95403-3015

Phone

(707) 483-9061

NPI assigned

Nov 30, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1588134688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 PROFESSIONAL DR STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033015",
            "telephone_number": "707-483-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 PROFESSIONAL DR STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033015",
            "telephone_number": "707-483-9061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2235 Challenger Way",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954075458",
            "country_code": "US",
            "telephone_number": "707-565-1384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCCAT",
        "first_name": "ALYSSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-30",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMV",
            "identifier": "F2763689",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruso Medical Group, Inc.
• Jessica Rose Bruso, DO
• Theresa Carmen Bruton
• Bryan M. Pereira, M.D., P.C.
• Josipa Bubalo, MD
• Colleen Buchanan, RASI
• Buckelew Programs
• Buckelew Programs
• Buckelew Programs
• Buckelew Programs

• Social Worker in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.