MR. BRUCE EDWIN VANNATTA MD NPI 1629074877

NPI Information

  • NPI: 1629074877
  • Provider Name: MR. BRUCE EDWIN VANNATTA, MD
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3801 KATELLA AVE
    SUITE 401
    LOS ALAMITOS, CA
    ZIP 90720
  • Phone: (562) 598-3200

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NPI Details

MR. Bruce Edwin Vannatta, MD is an interventional cardiology internal medicine in Los Alamitos, CA with 46 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. MR. Bruce Edwin Vannatta, MD NPI is 1629074877. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1980

The provider's business location address is:

3801 KATELLA AVE
SUITE 401
LOS ALAMITOS, CA
ZIP 90720-338
Phone: (562) 598-3200
Fax: (562) 799-3646

The NPI 1629074877 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, testosterone cypionate, 1 mg (HCPCS:J1071)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Measurement c-reactive protein for detection of infection or inflammation, high sensitivity (HCPCS:86141)
  • Hemoglobin a1c level (HCPCS:83036)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Uric acid level, blood (HCPCS:84550)
  • Natriuretic peptide (heart and blood vessel protein) level (HCPCS:83880)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Creatine kinase (cardiac enzyme) level, total (HCPCS:82550)
  • Magnesium level (HCPCS:83735)
  • Bilirubin level, direct (HCPCS:82248)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Injection, regadenoson, 0.1 mg (HCPCS:J2785)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Ultrasound of heart, follow-up (HCPCS:93308)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Technetium tc-99m sestamibi, diagnostic, per study dose (HCPCS:A9500)
  • Lipoprotein level, electrophoretic separation and quantitation (HCPCS:83700)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Heart muscle strain imaging (HCPCS:93356)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Automated urinalysis test (HCPCS:81003)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Programming of dual lead pacemaker system (HCPCS:93280)
  • Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch (HCPCS:92928)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Red blood cell sedimentation rate, to detect inflammation, non-automated (HCPCS:85651)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Blood test, clotting time (HCPCS:85610)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system (HCPCS:93288)
  • Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel (HCPCS:92978)
  • Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional (HCPCS:93229)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Ultrasound of heart, follow-up (HCPCS:93308)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report (HCPCS:93351)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Heart rhythm review and interpretation of continous external ekg over 8-15 days (HCPCS:93248)
  • Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional (HCPCS:93228)
  • Testosterone (hormone) level, total (HCPCS:84403)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Heart rhythm recording of continous external ekg over 8-15 days (HCPCS:93246)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Nuclear medicine study, 1 area with spect (HCPCS:78803)
  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries (HCPCS:A9538)
  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Pacemaker insertion or repair (HCPCS:NAN10)

The enumeration date for this NPI number is 6/22/2005 and was last updated on 4/23/2019.

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
1207RI0011XInternal MedicineInterventional CardiologyC39931CALIFORNIAYes
2207RC0000XInternal MedicineCardiovascular DiseaseC39931CALIFORNIANo

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
100C399310MEDICAIDCALIFORNIA

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: 11/21/2025

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