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MR. JONATHAN BLAKELY BRUGGE BASW CADCA
NPI 1689920985
Student in an Organized Health Care Education/Training Program in South Pasadena, CA

Active since July 24, 2012
616 PROSPECT AVE APT 2, SOUTH PASADENA, CA 91030(323) 770-2345 Get Directions Write a Review

NPPES record last updated: September 19, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Jonathan Blakely Brugge Basw Cadca NPPES

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

MR. JONATHAN BLAKELY BRUGGE BASW CADCA (NPI 1689920985) is an individual student in an organized health care education/training program in South Pasadena, California and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1689920985
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. JONATHAN BLAKELY BRUGGECredential: BASW CADCA
Location Address616 PROSPECT AVE APT 2South Pasadena, CA 91030-2433
Mailing Address616 Prospect Ave Apt 2South Pasadena, CA 91030-2433 · (323) 770-2345
Phone(323) 770-2345
Sole ProprietorYes
Enumeration DateJuly 24, 2012
Last NPPES UpdateSeptember 19, 2012
✔ NPI 1689920985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
616 PROSPECT AVE APT 2, South Pasadena, CA 91030
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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 Jonathan Brugge's NPI number?

The NPI number for Jonathan Brugge is 1689920985. It was assigned to this individual provider in the NPPES registry on July 24, 2012.

Where is Jonathan Brugge located?

Jonathan Brugge practices at 616 Prospect Ave Apt 2, South Pasadena, CA 91030. The listed phone number is (323) 770-2345.

What is Jonathan Brugge's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jonathan Brugge was last updated on September 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.