BRUCE M PRENNER (NPI# 1104882729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104882729 |
| Entity Type | Individual |
| Full Name | BRUCE M PRENNER |
| Credential | MD |
| Practice Address |
2655 Camino Del Rio N # 120 San Diego CA 92108-1633 |
| Mailing Address |
Po Box 2305 Skyland NC 28776-2305 |
| Practice Telephone | 6192866687 |
| Practice Fax Number | 6192866695 |
| Mailing Telephone | 8285752644 |
| Mailing Fax Number | 8283502174 |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2015-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | G21931 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G219310 | 05 | |
| CA | MEDICARE PTAN | GW214Z | 01 |
| Street Address |
2655 CAMINO DEL RIO N # 120 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-1633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013907286 | Brian Douglass Stone | Allergy & Immunology | 2655 Camino Del Rio N, #120, San Diego, CA 92108-1633 | 2005-10-27 |
| 1013269539 | Allergy Partners of California, Inc. | Allergy & Immunology | 2655 Camino Del Rio N, #120, San Diego, CA 92108 | 2012-10-08 |
| 1598037178 | Wenonah Wilcox | Acupuncturist | 2655 Camino Del Rio N, Ste. 340, San Diego, CA 92108-1633 | 2012-01-30 |
| 1609165224 | Jerrame Max Wilcox | Acupuncturist | 2655 Camino Del Rio N, Ste. 340, San Diego, CA 92108-1633 | 2011-04-04 |
| 1821221664 | Erik Austin Stalder | Dentist | 2655 Camino Del Rio N, Suite 150, San Diego, CA 92108-1633 | 2009-08-27 |
| 1982618153 | John Anthony Weisenseel Jr. | Dentist | 2655 Camino Del Rio N, Suite 150, San Diego, CA 92108-1633 | 2006-07-27 |
| 1548226681 | Jennifer L Kinney-bundy | Physician Assistant | 2655 Camino Del Rio N, Suite 330, San Diego, CA 92108-1633 | 2006-04-26 |
| 1821054446 | Jennifer Joy Pendleton | Allergy & Immunology | 2655 Camino Del Rio N, # 120, San Diego, CA 92108-1633 | 2006-04-22 |
| 1679543599 | Kurt Gerard Hummeldorf | Dentist | 2655 Camino Del Rio N, Ste 140, San Diego, CA 92108-1633 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316416118 | Pediatric Specialty Partners Inc. | Allergy & Immunology | 8929 University Center Ln Ste 208, San Diego, CA 92122-1054 | 2018-11-21 |
| 1417363086 | Rhonda Emily Alkatib | Allergy & Immunology | 2655 Camino Del Rio N Ste 120, San Diego, CA 92108-1633 | 2014-07-03 |
| 1235424771 | Maria Luz Lara-marquez | Allergy & Immunology | 3675 Ruffin Rd Ste 120, San Diego, CA 92123-1870 | 2011-06-13 |
| 1346424462 | Gary Alan Cohen | Allergy & Immunology | 9833 Pacific Heights Blvd, Ste J, San Diego, CA 92121-4074 | 2007-12-26 |
| 1134333073 | Allergy Associates Medical Group Inc | Allergy & Immunology | 6386 Alvarado Court, Suite 210, San Diego, CA 92120-4907 | 2007-05-10 |
| 1144373655 | Kusum Sharma | Allergy & Immunology | 10755 Scripps Poway Pkwy, Suite 455, San Diego, CA 92131-3924 | 2007-01-19 |
| 1831204494 | Gary A Cohen Md Inc | Allergy & Immunology | Ste J, 9833 Pacific Heights Blvd, San Diego, CA 92121-4707 | 2006-08-21 |
| 1285654889 | Marc Andrew Riedl | Allergy & Immunology | 8899 University Center Ln Ste 230, San Diego, CA 92122 | 2006-07-19 |
| 1013907286 | Brian Douglass Stone | Allergy & Immunology | 2655 Camino Del Rio N, #120, San Diego, CA 92108-1633 | 2005-10-27 |
| 1700336237 | Martin Lizerbram | Allergy & Immunology | 4005 Caminito Terviso, San Diego, CA 92122-1991 | 2016-10-07 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.