Organization Active NPI

Osteoporosis Center of San Jose

  • Bone Densitometry Radiologic Technologist
  • San Jose, CA
National Provider Identifier
1891915005
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Bone Densitometry Radiologic TechnologistTaxonomy code 2471B0102X
License
RHC142268 Issued in CA
Legal business name
OSTEOPOROSIS CENTER OF SAN JOSE
Doing business as
BRUCE J DREYFUSS MD
Practice address
25 N 14TH St Ste 890
San Jose, CA 95112-6216
Phone
(408) 288-6694
Fax
(408) 288-6698
NPI assigned
Apr 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Dr. Bruce J Dreyfuss, MDNPI 1558366047
Title
Director
Phone
(408) 288-6694

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Bone Densitometry Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471B0102X RHC142268 CA Primary
Radiology Clinic/Center 261QR0200X FAC52131 CA

Addresses

Primary practice location

25 N 14TH St Ste 890
San Jose, CA 95112-6216

Mailing address

25 N. 14TH St. Suite 890
San Jose, CA 95112
Phone (408) 288-6694

Other identifiers 8

IdentifierTypeStateIssuer
75001OtherCAFIRST HEALTH #
660003967OtherCARAILROAD MEDICARE
00G642970MedicaidCA
ZZZ54863ZOtherCABLUE SHIELD#
000519OtherCAPMG #
006083OtherCASCCIPA OST #
5148629MedicaidCA
110048492OtherCARAILROAD MEDICARE

Other names 1

  • BRUCE J DREYFUSS MD Doing business as

National Provider Directory

National Provider Directory

Locations

25 N 14th St
Ste 890
San Jose, CA 95112
Phone (408) 288-6623

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1891915005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N. 14TH ST. SUITE 890",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95112",
            "telephone_number": "408-288-6694",
            "fax_number": "408-288-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N 14TH ST STE 890",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126216",
            "telephone_number": "408-288-6694",
            "fax_number": "408-288-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTEOPOROSIS CENTER OF SAN JOSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "DREYFUSS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "408-288-6694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2471B0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Bone Densitometry",
            "state": "CA",
            "license": "RHC142268",
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "FAC52131",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH #",
            "identifier": "75001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "660003967",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G642970",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD#",
            "identifier": "ZZZ54863Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMG #",
            "identifier": "000519",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCCIPA OST #",
            "identifier": "006083",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5148629",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110048492",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRUCE J DREYFUSS MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.