DR. DANIEL LEE BRUCH D.O.
NPI 1164630026
Pediatrics in San Bernardino, CA
About Dr. Daniel Lee Bruch D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DANIEL LEE BRUCH D.O. (NPI 1164630026) is an individual pediatrics provider in San Bernardino, California, licensed in California (20A9501) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Daniel Lee Bruch D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Daniel Bruch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fontana, CA 92336
- Reassigned Medicare billing, California enrollment
- 49 clinicians in this Medicare group
Oroville, CA 95966
- Reassigned Medicare billing, California enrollment
- 267 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Daniel Bruch's NPI number?
The NPI number for Daniel Bruch is 1164630026. It was assigned to this individual provider in the NPPES registry on May 21, 2007.
Where is Daniel Bruch located?
Daniel Bruch practices at 742 W Highland Ave, San Bernardino, CA 92405. The listed phone number is (909) 881-7320.
What is Daniel Bruch's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Daniel Bruch enrolled in Medicare?
Yes. Daniel Bruch is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Daniel Bruch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Bruch reassigns Medicare benefits to 2 organizations: San Marcos Medical Group Inc (Fontana, CA) and Orohealth Corporation A Non Profit Healthcare System (Oroville, CA). Each 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 Daniel Bruch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Daniel Bruch was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Daniel Lee Bruch, D.O. · NPI 1164630026
Pediatrics physician in San Bernardino, California. Individual provider, active in the CMS NPPES registry since May 21, 2007.
## Identity
- **NPI:** 1164630026 (Entity type: Individual)
- **Enumerated:** May 21, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 20A9501 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 742 W HIGHLAND AVE, San Bernardino, CA 92405-3839
- **Phone:** (909) 881-7320
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): San Marcos Medical Group Inc (NPI 1447446448, Fontana, CA); Orohealth Corporation A Non Profit Healthcare System (NPI 1013933167, Oroville, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1164630026) · Data from the CMS NPPES public registry.