Bruce Wayne Fissette, DC, PHD

Primary specialty

Radiology ChiropractorTaxonomy code 111NR0200X

License

RHC147634 Issued in CA

Practice address

7020 Trask Ave
Westminster, CA 92683-2622

Phone

(949) 673-3154

Fax

(949) 723-8348

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1073535357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 W BAY AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634516",
            "telephone_number": "949-673-3154",
            "fax_number": "949-723-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7020 TRASK AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926832622",
            "telephone_number": "949-673-3154",
            "fax_number": "949-723-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISSETTE",
        "first_name": "BRUCE",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DC, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26387",
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "CA",
            "license": "RHC147634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica J Finley Hickey, PA
• First National Toxicology Corp.
• First Pharmacy
• Firstsight Vision Services, Inc.
• Tessa Marie Fisher
• Luiza Ana Fiz
• Eric James Flanagan
• Alejandra Flores Martinez
• Anthony Flores
• Roland Fontanares

• Radiology Chiropractor in Westminster, CA
• Providers in Westminster, CA by specialty
• Radiology Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.