Active NPI
Bruce Covner, M.D.
- Internal Medicine Physician
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G45620
- Practice address
- 9850 Genesee Ave
Suite 355
La Jolla, CA 92037-1224 - Phone
- (858) 202-0011
- Fax
- (858) 202-0055
- NPI assigned
- Aug 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G45620 | CA | Primary |
Addresses
Primary practice location
9850 Genesee Ave
Suite 355
La Jolla, CA 92037-1224
Mailing address
9850 Genesee Ave
Suite 355
La Jolla, CA 92037-1224
Phone (858) 202-0011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1980
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
9850 Genesee Ave
Suite 355
La Jolla, CA 92037-1224
Phone (858) 202-0111
9850 Genesee Ave
Suite 355
La Jolla, CA 92037-1227
9888 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 457-4123
Hospital & facility affiliations
- Seaport Scripps Home Health
- Scripps Memorial Hospital la Jolla
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G45620 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prima Primary Medical Association, Inc | Internal Medicine | Current | Accepting new patients |
| Ximed Hospitalists, Inc. | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients |
Locations
9850 Genesee Ave
Ste 355
La Jolla, CA 92037
Phone (858) 202-0011
9850 Genesee Ave
Ste 900
La Jolla, CA 92037
Phone (858) 452-1279
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- bcovner28106@scrippshlth.medalliesdirect.net
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- La Jolla, CA
- NPI 1023002029
-
- Specialist
- La Jolla, CA
- NPI 1831124791
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Diego, CA
- NPI 1750906954
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274227200000",
"number": "1720072192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9850 GENESEE AVE",
"address_2": "SUITE 355",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371224",
"telephone_number": "858-202-0011",
"fax_number": "858-202-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9850 GENESEE AVE",
"address_2": "SUITE 355",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371224",
"telephone_number": "858-202-0011",
"fax_number": "858-202-0055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVNER",
"first_name": "BRUCE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2010-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G45620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.