Nanette Denise Debruhl, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G66392 Issued in CA

Practice address

200 UCLA Medical PLZ Ste B165
Los Angeles, CA 90095-3075

Phone

(310) 301-6800

Fax

(310) 794-9035

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Regents Univ of Calif Los Angeles

  • Psychiatric Hospital
  • Los Angeles, CA
  • NPI 1952308363
  NPD (past)
• The Regents of the University of California

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1235107566
  NPD (past)
• The Regents of the University of California

  • Surgical Oncology Physician
  • Los Angeles, CA
  • NPI 1902861297
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1689625170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UCLA MEDICAL PLZ STE B165",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953075",
            "telephone_number": "310-301-6800",
            "fax_number": "310-794-9035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23388 Mulholland Dr",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913642733",
            "country_code": "US",
            "telephone_number": "818-876-1050",
            "fax_number": "818-556-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4323 W Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915054044",
            "country_code": "US",
            "telephone_number": "818-556-2700",
            "fax_number": "818-295-3450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "335 N La Brea Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900362517",
            "country_code": "US",
            "telephone_number": "323-634-3850",
            "fax_number": "323-938-9958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1260 15th St Ste 111",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041136",
            "country_code": "US",
            "telephone_number": "310-393-5153",
            "fax_number": "310-794-1428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBRUHL",
        "first_name": "NANETTE",
        "middle_name": "DENISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G66392",
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "G66392",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G663920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katrina Lust Debonis, M.D.
• Fabian H Debora
• Hayley Debose
• Debra Pear Chiropractic Inc
• Beatriz Debrito Bezerra, DDS,MSC,PHD
• Nina Debruno
• Christopher Decamp, MS
• Amanda Mary Rose Decampos Swigert
• James M. Decarli
• Robert Anthony Decarlo, MSW

• Diagnostic Radiology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.