Active NPI
Osteoporosis Center of San Jose
- Bone Densitometry Radiologic Technologist
- San Jose, CA
National Provider Identifier
1891915005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Bone Densitometry Radiologic Technologist
- License
- RHC142268
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bruce J Dreyfuss, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Bone Densitometry Radiologic Technologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75001 | Other | CA | FIRST HEALTH # |
| 660003967 | Other | CA | RAILROAD MEDICARE |
| 00G642970 | Medicaid | CA | |
| ZZZ54863Z | Other | CA | BLUE SHIELD# |
| 000519 | Other | CA | PMG # |
| 006083 | Other | CA | SCCIPA OST # |
| 5148629 | Medicaid | CA | |
| 110048492 | Other | CA | RAILROAD MEDICARE |
Other names 1
- BRUCE J DREYFUSS MD
National Provider Directory
National Provider DirectoryLocations
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.