Steven Brian Wasserman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

16932 Issued in CA

Practice address

3772 Katella Ave
Ste. 100
Los Alamitos, CA 90720-3104

Phone

(562) 430-4949

NPI assigned

Aug 15, 2006

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1984

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255344552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3772 KATELLA AVE",
            "address_2": "STE. 100",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203104",
            "telephone_number": "562-430-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3772 KATELLA AVE",
            "address_2": "STE. 100",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203104",
            "telephone_number": "562-430-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMAN",
        "first_name": "STEVEN",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "16932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC CA LIC. #",
            "identifier": "DC16932",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Brian Wallace, DDS
• Katherine Ahn Wallace, D.D.S.
• Megan Kristen Walsch
• Daniel Patrick Walsh
• Brian Wang
• Mary Ann Watson, OTR/L
• Connie Lee Wax, L.C.S.W.
• Diane Marie Wayne
• Elizabeth Weidlich, D.C.
• Stephen A Wertheimer, M.D.

• Chiropractor in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.