Mike Adams Bryant

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

00858814 Issued in CA

Practice address

2910 S Archibald Ave Ste A421
Ontario, CA 91761-7323

Phone

(760) 952-1786

NPI assigned

May 1, 2020

Last updated

May 1, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1710508627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 S ARCHIBALD AVE # A421",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917617323",
            "telephone_number": "760-952-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 S ARCHIBALD AVE STE A421",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917617323",
            "telephone_number": "760-952-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "MIKE",
        "middle_name": "ADAMS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "CA",
            "license": "00858814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Megan Buchanan
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• Budiman & Mak Dental Partnership (Dandelion Orthodontics and Pediatric Dentistry)

• Nurse's Aide in Ontario, CA
• Providers in Ontario, CA by specialty
• Nurse's Aide in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.