Active NPI
Reliance Medical Management, LLC
- Nephrology Physician
- Moorpark, CA
National Provider Identifier
1922487560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- RELIANCE MEDICAL MANAGEMENT, LLC
- Practice address
- 13990 Bear Fence CT
Moorpark, CA 93021-5022 - Phone
- (818) 718-2301
- Fax
- (818) 718-2311
- NPI assigned
- May 28, 2015
- 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
- Joyce Van Bruck
- Title
- Owner
- Phone
- (818) 400-6396
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
13990 Bear Fence CT
Moorpark, CA 93021-5022
Mailing address
PO Box 2160
Moorpark, CA 93020-2160
Phone (818) 718-2301
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434412800000",
"number": "1922487560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2160",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930202160",
"telephone_number": "818-718-2301",
"fax_number": "818-718-2311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13990 BEAR FENCE CT",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930215022",
"telephone_number": "818-718-2301",
"fax_number": "818-718-2311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELIANCE MEDICAL MANAGEMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-28",
"last_updated": "2015-06-16",
"status": "A",
"authorized_official_last_name": "VAN BRUCK",
"authorized_official_first_name": "JOYCE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-400-6396"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moorpark, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.