Bruce P Hector, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G198500 Issued in CA

Practice address

501 N Maclay Ave
San Fernando, CA 91340-2424

Phone

(818) 361-3788

Fax

(818) 361-4630

NPI assigned

Sep 8, 2006

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Noble Care Medical Group, Inc

  • Family Medicine Physician
  • San Fernando, CA
  • NPI 1093933939
  Medicare reassignment
• Senior Care Medical Group, Inc.

  • Geriatric Medicine (Family Medicine) Physician
  • San Fernando, CA
  • NPI 1477386464
  NPD

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1851495154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920970",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913920970",
            "telephone_number": "818-361-3788",
            "fax_number": "818-361-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N MACLAY AVE",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402424",
            "telephone_number": "818-361-3788",
            "fax_number": "818-361-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECTOR",
        "first_name": "BRUCE",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD8841",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G198500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G198500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hathaway Sycamores Child and Family Services
• Hathaway Sycamores Child and Family Services
• Hathaway Sycamores Child and Family Services
• Healthy Family Home Health Care Inc
• Heavenly Dental
• Alex Antonio Henriquez
• Hepius Home Health Care Group
• Elizabeth F. Hermosillo, RDHAP
• Crystal J. Hernandez Ruiz, LCSW
• Jamie Hernandez Ruiz

• Family Medicine Physician in San Fernando, CA
• Providers in San Fernando, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.