DR. MATIAS BRUZONI (NPI# 1548381890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548381890 |
| Entity Type | Individual |
| Full Name | DR. MATIAS BRUZONI |
| Credential | M.D. |
| Practice Address |
780 Welch Rd Suite 206 Palo Alto CA 94304-1516 |
| Mailing Address |
7999 Gateway Blvd Ste 200 Newark CA 94560-1197 |
| Practice Telephone | 6507236439 |
| Mailing Telephone | 5108062950 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2019-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | A105639 | CA | Allopathic & Osteopathic Physicians |
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
105639 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
780 WELCH RD SUITE 206 |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902919640 | Christopher Capelle | Psychiatry & Neurology | 780 Welch Rd, Suite 207, Palo Alto, CA 94304-1516 | 2006-08-16 |
| 1942659610 | Geovanna Suarez | Physician Assistant | 780 Welch Rd, Palo Alto, CA 94304-1516 | 2016-06-03 |
| 1871947879 | Chloe Reuter | Genetic Counselor, MS | 780 Welch Rd, Suite 250, Palo Alto, CA 94304-1516 | 2016-04-16 |
| 1932573987 | Trang Thao Ly | Pediatrics | 780 Welch Rd, Mail Code 5776, Palo Alto, CA 94304-1516 | 2015-11-13 |
| 1104172378 | Wael Hussein | Internal Medicine | 780 Welch Rd, Nephrology Devision, Suite 106, Palo Alto, CA 94304-1516 | 2012-07-25 |
| 1154616373 | Colin Lenihan | Internal Medicine | 780 Welch Rd, Suite 106, Palo Alto, CA 94304-1516 | 2011-06-15 |
| 1568698280 | Vidhya Annavajjhala | Student in an Organized Health Care Education/Training Program | 780 Welch Rd, Palo Alto, CA 94304-1516 | 2009-06-09 |
| 1639383193 | Stanford University | General Acute Care Hospital | 780 Welch Rd, Suite 106, Palo Alto, CA 94304-1516 | 2007-05-10 |
| 1407978885 | Victoria M. Liban | Counselor | 780 Welch Rd, Suite 207, Palo Alto, CA 94304-1516 | 2007-04-04 |
| 1396880209 | Barbara C Widney | Marriage & Family Therapist | 780 Welch Rd, Suite 207, Palo Alto, CA 94304-1516 | 2007-02-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
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| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114385440 | Jacob C Langer | Surgery | 730 Welch Rd, Palo Alto, CA 94304-1503 | 2016-02-01 |
| 1285784538 | Karl Gerard Sylvester | Surgery | 730 Welch Rd, 2nd Floor, Palo Alto, CA 94304 | 2007-01-11 |
| 1982751004 | Gary Edwin Hartman | Surgery | 780 Welch Rd, Suite 206, Palo Alto, CA 94304-1516 | 2007-01-03 |
| 1649383498 | Lucile Packard Childrens Hospital | Surgery | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2006-08-16 |
| 1417971151 | Julie Robin Fuchs | Surgery | 730 Welch Rd, 2nd Floor, Palo Alto, CA 94304 | 2006-07-26 |
| 1609807064 | Wendy Tienhui Su | Surgery | 725 Welch Rd, Palo Alto, CA 94304 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629560149 | Norcal Pediatric Surgical Partners | Surgery | 21c Orinda Way # 276, Orinda, CA 94563-2534 | 2018-05-31 |
| 1598137291 | Pasadena Pediatric Surgery, Inc. | Surgery | 625 S Fair Oaks Ave Ste 286, Pasadena, CA 91105-2613 | 2015-10-21 |
| 1205121704 | Bindi Naik-mathuria | Surgery | 7512 Hampton Ave, West Hollywood, CA 90046-5503 | 2011-06-13 |
| 1295053437 | Ashley Walther | Surgery | 4650 W Sunset Blvd # Ms 100, Los Angeles, CA 90027 | 2010-05-12 |
| 1881918407 | R V Daluvoy Md Inc | Surgery | 908 East Main St, Barstow, CA 92311-2406 | 2010-03-25 |
| 1215162607 | James Pierce | Surgery | 9300 Valley Childrens Pl # Ge01, Madera, CA 93636-8761 | 2009-05-28 |
| 1790921641 | Clinica Medica Del Valle, Inc. | Surgery | 52-565 Harrison Street, Suite 104, Coachella, CA 92236-1534 | 2008-12-24 |
| 1225298870 | Payam Saadai | Surgery | 2221 Stockton Blvd, 3rd Floor, Uc Davis Medical Center, Sacramento, CA 95817-1418 | 2008-06-16 |
| 1396916524 | Erin Brown | Surgery | 2425 Stockton Blvd Shriners Hospital for Children, Sacramento, CA 95817-2215 | 2008-03-15 |
| 1124203872 | Children's Hospital Los Angeles Medical Group | Surgery | 4650 W Sunset Blvd # 72, Los Angeles, CA 90027-6062 | 2007-12-31 |
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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.