Organization Active NPI

Bruce V. Figuered,PH.D. a Professionalpsychology Corporation

  • Psychologist
  • Del Mar, CA
National Provider Identifier
1780695890
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY18899 Issued in CA
Legal business name
BRUCE V. FIGUERED,PH.D. A PROFESSIONALPSYCHOLOGY CORPORATION
Practice address
14750 El Camino Real
Del Mar, CA 92014-4204
Phone
(858) 724-2134
NPI assigned
Aug 11, 2006
Last updated
Jun 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Authorized official

Name
Mr. Bruce V Figuered, PH.D.NPI 1326086307
Title
President
Phone
(858) 724-2134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY18899 CA Primary

Addresses

Primary practice location

14750 El Camino Real
Del Mar, CA 92014-4204

Mailing address

9777 Valley Ranch Rd
El Cajon, CA 92021-2347
Phone (866) 284-2771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140708001580 CA Part B Supplier - Clinic/Group Practice 2062637093 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

2815 Camino del Rio S
Ste 265
San Diego, CA 92108
Phone (619) 889-3399

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1780695890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 VALLEY RANCH RD",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920212347",
            "telephone_number": "866-284-2771",
            "fax_number": "800-334-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14750 EL CAMINO REAL",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920144204",
            "telephone_number": "858-724-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE V. FIGUERED,PH.D. A PROFESSIONALPSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "FIGUERED",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-724-2134",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY18899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.