NATHANIEL BRUCE-BLACK (NPI# 1396112876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396112876 |
| Entity Type | Individual |
| Full Name | NATHANIEL BRUCE-BLACK |
| Credential | HAD |
| Practice Address |
16777 Bernardo Center Dr E9 San Diego CA 92128-2572 |
| Mailing Address |
10650 Scripps Ranch Blvd Ste 108 San Diego CA 92131-2471 |
| Practice Telephone | 8586760635 |
| Mailing Telephone | (858) 348-4044 |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | HA8009 | CA | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10650 Scripps Ranch Blvd Ste 108, San Diego, CA 921312471 | 8983484044 |
| Street Address |
16777 BERNARDO CENTER DR E9 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-2572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871089474 | Manuel E Anaya | Hearing Instrument Specialist | 9340 Clairemont Mesa Blvd Ste D, San Diego, CA 92123-1224 | 2018-07-06 |
| 1942750344 | Clear Choice Hearing Aid Center Inc | Hearing Instrument Specialist | 16483 Bernardo Center Dr, San Diego, CA 92128-2523 | 2016-10-10 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1669771598 | Dana M Knutson | Hearing Instrument Specialist | 1060 University Ave Ste A215, Miracle-ear Center, San Diego, CA 92103-7345 | 2011-03-17 |
| 1649419250 | Mir Jafarinejad | Hearing Instrument Specialist | 7850 Mission Center Ct, Suite 101-a, San Diego, CA 92108-1322 | 2009-02-05 |
| 1588801435 | Hong D. Vu | Hearing Instrument Specialist | 7612 Linda Vista Rd Ste 113, San Diego, CA 92111-5313 | 2009-01-14 |
| 1518159300 | A-adams Hearing Aid Center Inc | Hearing Instrument Specialist | 3605 Adams Ave, San Diego, CA 92116-2213 | 2007-08-15 |
| 1962628123 | Joanne Miller | Hearing Instrument Specialist | 2827 33rd St, San Diego, CA 92104-5116 | 2007-04-17 |
| 1629196969 | Collette L Forshan | Hearing Instrument Specialist | 9912 Carmel Mountain Rd Ste F, San Diego, CA 92129-2808 | 2007-03-26 |
| 1851436596 | Debra Lynn Miller | Hearing Instrument Specialist | 6150 El Cajon Blvd Ste D, San Diego, CA 92115-3900 | 2007-02-20 |
| 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.