Bruce Gaines, is a
Social Worker - Clinical based in Granada Hills, California. Bruce Gaines is licensed to practice in California (license number 32704) and his current practice location is
10605 Balboa Blvd. Suite 100, Granada Hills, California. He can be reached at his office (for appointments etc.) via phone at
(818) 832-2400.
NPI number for Bruce Gaines is 1114252772 and his current mailing address is 121 W Victoria St, Long Beach, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114252772.
Healthcare Provider's Profile
Full Name | Bruce Gaines |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 10605 Balboa Blvd. Suite 100, Granada Hills, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114252772
- Provider Enumeration Date: 10/14/2009
- Last Update Date: 10/12/2012
Medical Identifiers
Medical identifiers for Bruce Gaines such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114252772 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 32704 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bruce Gaines is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bruce Gaines, 121 W Victoria St, Long Beach, CA 90805-2162 Ph: (310) 603-1030 | Bruce Gaines, 10605 Balboa Blvd. Suite 100, Granada Hills, CA 91344 Ph: (818) 832-2400 |
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