Bruce M Prenner (NPI# 1104882729, PAC ID# 2860470267) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1104882729 |
| PAC ID by PECOS | 2860470267 |
| Professional Enrollment ID | I20111202000155 |
| Full Name | Bruce M Prenner |
| Organization Legal Name | ALLERGY PARTNERS OF CALIFORNIA, INC |
| Address |
2655 Camino Del Rio N Suite 120 San Diego CA 92108-1633 |
| Phone Number | 6192866687 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 1970 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Group Practice PAC ID | 0143498097 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050026 | GROSSMONT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2655 Camino Del Rio N, Suite 120, San Diego, CA 92108-1633 | 6192866687 | ALLERGY PARTNERS OF CALIFORNIA, INC |
| Organization Legal Name | ALLERGY PARTNERS OF CALIFORNIA, INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Douglass Stone | Allergy/immunology | Allergy Partners of California, Inc | 2655 Camino Del Rio N, Suite 120, San Diego, CA 92108-1633 |
| Kelli M Rose | Allergy/immunology | Allergy Partners of California, Inc | 1551 Bishop St, Suite 520, San Luis Obispo, CA 93401-4665 |
| Chao-i Lin | Allergy/immunology | Allergy Partners of California, Inc | 400 W Central Ave, Suite 100, Brea, CA 92821-3007 |
| Robert J Holzhauer | Allergy/immunology | Allergy Partners of California, Inc | 1551 Bishop St, Suite 520, San Luis Obispo, CA 93401-4665 |
| Jennifer Joy Pendleton | Allergy/immunology | Allergy Partners of California, Inc | 2655 Camino Del Rio N, Suite 120, San Diego, CA 92108-1633 |
| William Gust Harris | Allergy/immunology | Allergy Partners of California, Inc | 505 S Main St, Suite 250, Orange, CA 92868-4515 |
| Arthur Mclean | Allergy/immunology | Allergy Partners of California, Inc | 1551 Bishop St, Suite 520, San Luis Obispo, CA 93401-4665 |
| Street Address |
2655 CAMINO DEL RIO N SUITE 120 |
| City | SAN DIEGO |
| State | CA |
| Zip | 92108-1633 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Douglass Stone | Allergy/immunology | Allergy Partners of California, Inc | 2655 Camino Del Rio N, Suite 120, San Diego, CA 92108-1633 |
| Autumn R Phillips | Psychologist, Clinical | Phillips Medstone A Psychological Corporation | 2655 Camino Del Rio N, Suite 340, San Diego, CA 92108-1683 |
| Jennifer Joy Pendleton | Allergy/immunology | Allergy Partners of California, Inc | 2655 Camino Del Rio N, Suite 120, San Diego, CA 92108-1633 |
| Derrick Del Rosario | Physician Assistant | Caos A Medical Corporation | 2655 Camino Del Rio N, Suite 330, San Diego, CA 92108-1633 |
| Janel J Moreno | Nurse Practitioner | Caos A Medical Corporation | 2655 Camino Del Rio N, San Diego, CA 92108-1633 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele Mccarter | Psychologist, Clinical | Psychiatric Centers At San Diego, Inc. Med Grp | 5353 Mission Ctr Rd, Suite 224, San Diego, CA 92108-1304 |
| Lauren Fernberg | Nurse Practitioner | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Manuel Robert Brasley | Nurse Practitioner | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Nicole Murphy | Nurse Practitioner | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Shawn Laird | Nurse Practitioner | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Grant Meyer | Internal Medicine | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Pouya Afshar | Hospitalist | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 | |
| Anand N Patel | Internal Medicine | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Neal Allan Dunitz | Internal Medicine | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Manuel Moreno | Nurse Practitioner | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Find all physicians in zip 92108 | |||
| City | SAN DIEGO |
| Zip Code | 92108 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | SAN DIEGO + ALLERGY/IMMUNOLOGY |
Please comment or provide details below to improve the information on Bruce M Prenner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.