Organization Active NPI

Jonathan E. Bugh D.C. Inc.

  • Chiropractor
  • Camarillo, CA
National Provider Identifier
1134495120
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC15501 Issued in CA
Legal business name
JONATHAN E. BUGH D.C. INC.
Practice address
5239 Mission Oaks Blvd
Camarillo, CA 93012-5403
Phone
(805) 484-7500
Fax
(805) 484-9495
NPI assigned
Mar 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Susie Bugh
Title
Office Manager
Phone
(805) 484-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC15501 CA Primary

Addresses

Primary practice location

5239 Mission Oaks Blvd
Camarillo, CA 93012-5403

Mailing address

5239 Mission Oaks Blvd
Camarillo, CA 93012-5403
Phone (805) 484-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120413000191 CA Part B Supplier - Clinic/Group Practice 9537320841 Receives reassigned benefits from 1 practitioner
Practice locations: Camarillo, CA

National Provider Directory

National Provider Directory

Locations

1297 Flynn Rd
Ste 240
Camarillo, CA 93012

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1134495120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5239 MISSION OAKS BLVD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125403",
            "telephone_number": "805-484-7500",
            "fax_number": "805-484-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5239 MISSION OAKS BLVD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125403",
            "telephone_number": "805-484-7500",
            "fax_number": "805-484-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN E. BUGH D.C. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-24",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "BUGH",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-484-7500"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC15501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.