Active NPI
Tien N P Bao, D.C.
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1013240803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC27009
- Practice address
- 4545 E 3Rd St Ste 101-103
Los Angeles, CA 90022-1656 - Phone
- (323) 264-6296
- NPI assigned
- Sep 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC27009 | CA | Primary |
Addresses
Primary practice location
4545 E 3Rd St Ste 101-103
Los Angeles, CA 90022-1656
Mailing address
4545 E 3Rd St Ste 101-103
Los Angeles, CA 90022-1656
Phone (323) 264-6296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC27009 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252540800000",
"number": "1013240803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4545 E 3RD ST STE 101-103",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900221656",
"telephone_number": "323-264-6296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 E 3RD ST STE 101-103",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900221656",
"telephone_number": "323-264-6296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAO",
"first_name": "TIEN",
"middle_name": "N P",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-10",
"last_updated": "2009-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC27009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.