DR. MARK NEIL BRUCKNER M.D.
NPI 1245226232
Pediatrics in Simi Valley, CA
NPI Status: Active since September 23, 2005
Contact Information
2876 SYCAMORE DR
SUITE 302
SIMI VALLEY, CA
ZIP 93065
Phone: (805) 522-4400
- Individual
- Male
- Pediatrics
- CLIA Number: 05D0715851
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-12-2027
About MARK BRUCKNER
This page provides the complete NPI Profile along with additional information for Mark Bruckner, a pediatrician established in Simi Valley, California with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1245226232 assigned on September 2005. The practitioner's primary taxonomy code is 208000000X with license number G50614 (CA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1245226232
- Provider Name
- DR. MARK NEIL BRUCKNER M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2876 SYCAMORE DR SUITE 302 SIMI VALLEY, CA 93065
- Location Phone
- (805) 522-4400
- Mailing Address
- 2668 VIA ZURITA CT SANTA ROSA VALLEY, CA 93012
- Mailing Phone
- (805) 491-2641
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-23-2005
- Last Update Date
- 07-08-2007
- Code Navigator
A pediatrician like Mark Bruckner is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G50614
- License State
- CA
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0715851
- Facility Type
- Physician Office
- Certificate Effective Date
- April 13, 2025
- Certificate Expiration Date
- April 12, 2027
- Laboratory Director
- MARK N. BRUCKNER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mark Bruckner to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 2 | 2 | 6 | 2 | 3 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 4 | 2 | 12 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 4 + 2 + 1 + 2 + 2 + 6 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1245226232 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1477549970 | MR. MICHAEL RICHARD DRUCKER M.D. Individual | Specialist | 2876 SYCAMORE DR SUITE 304 SIMI VALLEY, CA 93065 (805) 526-9242 |
| 1891765574 | DR. VINOD KUMAR GUPTA M.D. Individual | Specialist | 2876 SYCAMORE DR SIMI VALLEY, CA 93065 (805) 527-6616 |
| 1437124849 | DR. GEORGE P CARBONE M.D. Individual | Family Medicine | 2876 SYCAMORE DR SUITE 101 SIMI VALLEY, CA 93065 (805) 527-6424 |
| 1841265261 | DR. GEORGE A DICHTER M.D. Individual | Internal Medicine | 2876 SYCAMORE DR SUITE 101 SIMI VALLEY, CA 93065 (805) 527-6424 |
| 1184699506 | DR. ABDUL W NAWABI M.D. Individual | Family Medicine | 2876 SYCAMORE DR SUITE 101 SIMI VALLEY, CA 93065 (805) 527-6424 |
| 1922073998 | DR. JERRY A DAVIDSON M.D. Individual | Family Medicine | 2876 SYCAMORE DR SUITE 101 SIMI VALLEY, CA 93065 (805) 527-6424 |
| 1427023407 | DR. JONATHAN K KUROHARA M.D Individual | Family Medicine | 2876 SYCAMORE DR SUITE 101 SIMI VALLEY, CA 93065 (805) 527-6424 |
| 1255378840 | MRS. SERENA MAYE FRIEDMAN M.D. Individual | Family Medicine | 2876 SYCAMORE DR SUITE 304 SIMI VALLEY, CA 93065 (805) 526-9242 |
| 1891728937 | MRS. TAMI LYNN CHRANS R.D. Individual | Dietitian, Registered | 2876 SYCAMORE DR SUITE 200 SIMI VALLEY, CA 93065 (805) 527-8055 |
| 1356520266 | SERENA M. FRIEDMAN M.D., A MEDICAL CORPORATION Organization | Internal Medicine | 2876 SYCAMORE DR SUITE 304 SIMI VALLEY, CA 93065 (805) 526-9242 |
| 1376723601 | RAJEE ANANDA, M.D., INC. Organization | Neuromusculoskeletal Medicine, Sports Medicine | 2876 SYCAMORE DR SUITE 305 SIMI VALLEY, CA 93065 (805) 522-2900 |
| 1326218272 | JONATHAN KUROHARA MD INC Organization | Family Medicine | 2876 SYCAMORE DR #101 SIMI VALLEY, CA 93065 (805) 527-6424 |
| 1144475864 | TIM MCNICOLL MD INC Organization | Family Medicine | 2876 SYCAMORE DR SUITE 101 SIMI VALLEY, CA 93065 (805) 527-6424 |
| 1790930402 | GEORGE DICHTER MD INC Organization | Internal Medicine | 2876 SYCAMORE DR SUITE 101 SIMI VALLEY, CA 93065 (805) 527-6424 |
| 1306380985 | ADVANCED PAIN MEDICAL GROUP, INC Organization | Non-Pharmacy Dispensing Site | 2876 SYCAMORE DR SUITE 203 SIMI VALLEY, CA 93065 (818) 348-7246 |
| 1245776244 | MRS. JENNIFER LAUREN LANE PA Individual | Physician Assistant (Medical) | 2876 SYCAMORE DR SIMI VALLEY, CA 93065 (805) 527-6424 |
| 1912914359 | DR. MARTIN EDWARD WAREHAM M.D. Individual | Otolaryngology | 2876 SYCAMORE DR STE 303 SIMI VALLEY, CA 93065 (805) 379-9646 |
| 1528157989 | BIKRAM J SONI MD MEDICAL CORPORATION Organization | Internal Medicine (Cardiovascular Disease) | 2876 SYCAMORE DR SUITE 301 SIMI VALLEY, CA 93065 (805) 306-0304 |
| 1326589201 | ADVANCED PAIN MEDICAL GROUP, INC Organization | Pain Medicine (Interventional Pain Medicine) | 2876 SYCAMORE DR SUITE 203 SIMI VALLEY, CA 93065 (818) 348-7246 |
| 1669427514 | DR. RAJESWARI ANANDA M.D. Individual | Neuromusculoskeletal Medicine & OMM | 2876 SYCAMORE DR SUITE 305 SIMI VALLEY, CA 93065 (805) 522-2900 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245226232, enumerated in the NPI registry as an "individual" on September 23, 2005
The provider is located at 2876 Sycamore Dr Suite 302 Simi Valley, Ca 93065 and the phone number is (805) 522-4400
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider's CLIA number is 05D0715851 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 23, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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