Dimitri Gruer, DAOM, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC16549 Issued in CA

Practice address

24361 El Toro Rd Ste 105
Laguna Woods, CA 92637-2756

Phone

(949) 215-1957

NPI assigned

Oct 21, 2016

Last updated

Sep 12, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oc Vitality

  • Integrative Medicine Physician
  • Anaheim, CA
  • NPI 1164151700
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599868800000",
    "number": "1023569373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24361 EL TORO RD STE 105",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926372756",
            "telephone_number": "949-215-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24361 EL TORO RD STE 105",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926372756",
            "telephone_number": "949-215-1957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Quail St Ste 207",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926602782",
            "country_code": "US",
            "telephone_number": "949-632-6678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "678 S Indian Hill Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Claremont",
            "state": "CA",
            "postal_code": "917116000",
            "country_code": "US",
            "telephone_number": "949-632-6678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUER",
        "first_name": "DIMITRI",
        "name_prefix": "Dr.",
        "credential": "DAOM, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-21",
        "last_updated": "2020-09-12",
        "certification_date": "2020-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC16549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Mark Goldman, O.D.
• Ruth L. Goldman, O.D.
• David Jr Gonzalez
• Scott Michael Graham, M.D.
• Susan K Grenz, MD
• Hamarock Consultants Inc (Amada Senior Care of Orange County)
• Kelly A Hanks, OTC
• Hanmaum Medical Center
• Douglas Dean Harmon, DC
• Danielle Brooke Harris-Nguyen, M.A., OTR/L

• Acupuncturist in Laguna Woods, CA
• Providers in Laguna Woods, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.