DEBRUIN MEDICAL CENTER A.P.C. NPI 1104095975

NPI Information

  • NPI: 1104095975
  • Provider Name: DEBRUIN MEDICAL CENTER A.P.C.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 9352 MADISON AVE
    STE. ONE
    ORANGEVALE, CA
    ZIP 95662
  • Phone: (916) 989-2929

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NPI Details

DEBRUIN MEDICAL CENTER A.P.C. is a family medicine in Orangevale, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DEBRUIN MEDICAL CENTER A.P.C. NPI is 1104095975. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9352 MADISON AVE
STE. ONE
ORANGEVALE, CA
ZIP 95662-968
Phone: (916) 989-2929
Fax: (916) 989-0322

The provider's authorized official is Mark Ike Debruin .
The authorized official title is Owner and has the following contact phone number (916) 989-2929.

The enumeration date for this NPI number is 2/26/2008 and was last updated on 2/26/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine20A5579CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100AX55790MEDICAIDCALIFORNIA
220A5579MEDICARE PINCALIFORNIA
3E38323MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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