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 19 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 NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1245226232, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SIMI VALLEY, CA 93065
SIMI VALLEY, CA 93065
SIMI VALLEY, CA 93065
SIMI VALLEY, CA 93065
SIMI VALLEY, CA 93065
SIMI VALLEY, CA 93065
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245226232, enumerated 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.
Pediatrics with taxonomy code 208000000X.
