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DEBRUIN MEDICAL CENTER A.P.C.
NPI 1104095975
Family Medicine in Orangevale, CA

Active since February 26, 2008
9352 MADISON AVE, STE. ONE, ORANGEVALE, CA 95662(916) 989-2929(916) 989-0322 Get Directions Write a Review

NPPES record last updated: February 26, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Debruin Medical Center A.p.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBRUIN MEDICAL CENTER A.P.C. (NPI 1104095975) is a healthcare organization registered as a family medicine in Orangevale, California and active in the NPI registry since February 2008. The organization lists Mark Ike Debruin, Owner, as its authorized official.

NPPES Registry Identity

NPI1104095975
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEBRUIN MEDICAL CENTER A.P.C.
Location Address9352 MADISON AVE, STE. ONEOrangevale, CA 95662-4968
Mailing Address9352 Madison Ave, Ste. OneOrangevale, CA 95662-4968 · (916) 989-2929 · Fax (916) 989-0322
Phone(916) 989-2929
Fax(916) 989-0322
Organization SubpartNo
Authorized OfficialMark Ike DebruinOwner · (916) 989-2929
Enumeration DateFebruary 26, 2008
✔ NPI 1104095975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A5579
Definition
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.
9352 MADISON AVE, Orangevale, CA 95662
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Other Identifiers 3

Medicaid00AX55790CA
Medicare PIN20A5579CA
Medicare UPINE38323CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Debruin Medical Center A.p.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Debruin Medical Center A.P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Mark Debruin, D.O.
Family Practice
NPI 1154327518
9352 MADISON AVE STE 1
Orangevale, CA 95662
(916) 989-2929
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debruin Medical Center A.P.C.'s NPI number?

The NPI number for Debruin Medical Center A.P.C. is 1104095975. It was assigned to this organization in the NPPES registry on February 26, 2008.

Where is Debruin Medical Center A.P.C. located?

Debruin Medical Center A.P.C. is located at 9352 Madison Ave Ste. One, Orangevale, CA 95662. The listed phone number is (916) 989-2929.

What is Debruin Medical Center A.P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Debruin Medical Center A.P.C. enrolled in Medicare?

Yes. Debruin Medical Center A.P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Debruin Medical Center A.P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Debruin Medical Center A.P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Debruin Medical Center A.P.C. was last updated on February 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.