MR. BRUCE EDWIN VANNATTA MD
NPI 1629074877
Internal Medicine - Interventional Cardiology in Los Alamitos, CA

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment
79.63/100
CMS Quality Rating
3801 KATELLA AVE, SUITE 401, LOS ALAMITOS, CA 90720(562) 598-3200(562) 799-3646 Get Directions Write a Review

NPPES record last updated: April 23, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Bruce Edwin Vannatta Md NPPES

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

MR. BRUCE EDWIN VANNATTA MD (NPI 1629074877) is an individual interventional cardiology provider in Los Alamitos, California, licensed in California (C39931) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (1980).

NPPES Registry Identity

NPI1629074877
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameMR. BRUCE EDWIN VANNATTACredential: MD
Location Address3801 KATELLA AVE, SUITE 401Los Alamitos, CA 90720-3338
Mailing Address3801 Katella Ave, Suite 401Los Alamitos, CA 90720-3338 · (562) 598-3200 · Fax (562) 799-3646
Fax(562) 799-3646
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1980
Enumeration DateJune 22, 2005
Last NPPES UpdateApril 23, 2019
NPI 1629074877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in CA · C39931
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License C39931 (CA)
3801 KATELLA AVE, Los Alamitos, CA 90720

Other Identifiers 1

Medicaid00C399310CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Bruce Edwin Vannatta Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072700558
PECOS Enrollment IDI20101209000648
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 73

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, testosterone cypionate, 1 mg J1071
Testosterone cypionate is a medication given via injection to help balance hormone levels in your body. It's typically used when your body doesn't produce enough of this hormone naturally. The 1 mg dose refers to the amount of medication in each injection.
19,244 services15 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
1,139 services604 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
1,097 services600 patients
Measurement c-reactive protein for detection of infection or inflammation, high sensitivity 86141
The high sensitivity C-reactive protein test is a blood test that helps detect low levels of inflammation in the body. It's often used to assess the risk of heart disease but can also indicate infection or other inflammatory conditions.
1,091 services601 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
1,086 services602 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
1,085 services602 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.54
Promoting Interoperability86
Improvement Activities40
Cost62.24

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.

Specialist
3801 KATELLA AVE, STE 110
LOS ALAMITOS, CA 90720
Internal Medicine (Cardiovascular Disease)
3801 KATELLA AVE, STE 401
LOS ALAMITOS, CA 90720
Internal Medicine (Cardiovascular Disease)
3801 KATELLA AVE, SUITE 401
LOS ALAMITOS, CA 90720
Otolaryngology (Otolaryngic Allergy)
3801 KATELLA AVE, STE 425
LOS ALAMITOS, CA 90720
Pediatrics (Adolescent Medicine)
3801 KATELLA AVE, SUITE 221
LOS ALAMITOS, CA 90720
Internal Medicine (Interventional Cardiology)
3801 KATELLA AVE, SUITE 310
LOS ALAMITOS, CA 90720
Dermatology (MOHS-Micrographic Surgery)
3801 KATELLA AVE, SUITE 414
LOS ALAMITOS, CA 90720
Specialist
3801 KATELLA AVE, SUITE 425
LOS ALAMITOS, CA 90720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629074877, enumerated as an "individual" on June 22, 2005.

The provider is located at 3801 KATELLA AVE SUITE 401 LOS ALAMITOS, CA 90720 and the phone number is (562) 598-3200.

Internal Medicine with taxonomy code 207RI0011X and a focus in Interventional Cardiology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.