Individual provider Active NPI

Andrew R. Bruggeman, M.D.

  • Radiation Oncology Physician
  • Chula Vista, CA
National Provider Identifier
1790049591
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A126549 Issued in CA
Practice address
769 Medical Center CT
Chula Vista, CA 91911-6602
Phone
(619) 502-5851
Fax
(619) 502-5865
NPI assigned
Jun 27, 2012
Last updated
Feb 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A126549 CA Primary

Addresses

Primary practice location

769 Medical Center CT
Chula Vista, CA 91911-6602

Mailing address

PO Box 509015
Dept 338
San Diego, CA 92150-9015

Other practice location 1

5555 Grossmont Center Dr
LA Mesa, CA 91942-3019
Phone (619) 740-4500

Other practice location 2

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-5010

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190919003325 CA Practitioner - Radiation Oncology 7315239043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Toledo Medical College, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
X-Ray Medical Group Radiation Oncology IncGroup PAC ID 2668443326, 8 clinicians

Practice addresses (Care Compare)

5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 644-4512

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A126549CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncology Network of Southern California CurrentSince Sep 29, 2021 Accepting new patients
Regents of the University of California Radiation Oncology CurrentSince Jul 22, 2019 Accepting new patients
X-Ray Medical Group Radiation Oncology Inc Radiation Oncology CurrentSince Feb 1, 2023 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Sharp Coronado Hospital and Healthcare Center Past Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients
Regents of the University of California Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

769 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 502-3664

959 Lane Ave
Chula Vista, CA 91914
Phone (619) 502-7730

959 Lane Ave
Ste B
Chula Vista, CA 91914
Phone (619) 502-7721

1410 S La Brucherie Rd
#B
El Centro, CA 92243
Phone (760) 339-5620

1200 Garden View Rd
Ste 210
Encinitas, CA 92024
Phone (858) 246-0500

3855 Health Sciences Dr
#843
La Jolla, CA 92093
Phone (858) 822-6040

9350 Campus Point Dr
La Jolla, CA 92037
Phone (858) 657-0583

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

16918 Dove Canyon Rd
Ste 103
San Diego, CA 92127
Phone (858) 649-5100

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

3075 Health Center Dr
San Diego, CA 92123
Phone (858) 637-7888

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1790049591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509015",
            "address_2": "DEPT 338",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921509015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 MEDICAL CENTER CT",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116602",
            "telephone_number": "619-502-5851",
            "fax_number": "619-502-5865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 Grossmont Center Dr",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919423019",
            "country_code": "US",
            "telephone_number": "619-740-4500",
            "fax_number": "619-740-8499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 Frost St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921232701",
            "country_code": "US",
            "telephone_number": "858-939-5010",
            "fax_number": "858-939-5021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUGGEMAN",
        "first_name": "ANDREW",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A126549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.