Bruno Bucci MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A63690 Issued in CA

Legal business name

BRUNO BUCCI MD INC

Practice address

620 S Main St
Santa Ana, CA 92701-5716

Phone

(714) 547-6485

Fax

(714) 285-9466

NPI assigned

May 21, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Carmen Bucci

Title

Corporation Secretary/Treasurer

Phone

(714) 547-6485

Specialties & licenses 1

Addresses

Other names 1

• South Main Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Bruno Bucci, M.D.

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1407811250
  Medicare reassignment NPD

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1982839809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S MAIN ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015716",
            "telephone_number": "714-547-6485",
            "fax_number": "714-285-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S MAIN ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015716",
            "telephone_number": "714-547-6485",
            "fax_number": "714-285-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNO BUCCI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "BUCCI",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "CORPORATION SECRETARY/TREASURER",
        "authorized_official_telephone_number": "714-547-6485",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A63690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Main Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph John Brugman, M.D.
• Richard D. Brumley, M.D.
• Taylor Glen Brummond
• Brandy Bruner, RN
• Terri Brunette
• Ashley Bruns
• Brush Advisories Medical
• Carol Ann Brush, PH.D.,MFT
• Vincent Daniel Bryan
• Bubbe and Zayde'S Place Inc.

• Family Medicine Physician in Santa Ana, CA
• Providers in Santa Ana, 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 Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.