Reynoso-Bruce Chiropractic Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC23961 Issued in CA

Legal business name

REYNOSO-BRUCE CHIROPRACTIC CORP

Practice address

8873 Adams Ave
Huntington Beach, CA 92646-3301

Phone

(714) 962-8818

Fax

(714) 962-8819

NPI assigned

Jun 17, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Robert Bruce Reynoso, DCNPI 1568640399

Title

President

Phone

(714) 962-8818

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• Health Pro Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Robert Bruce Reynoso, D.C.

  • Chiropractor
  • Huntington Beach, CA
  • NPI 1568640399
  Medicare reassignment Care Compare group NPD Authorized official
• Rodiel Kirby Layson Baloy II, MS, PT, CSCS

  • Physical Therapist
  • Huntington Beach, CA
  • NPI 1407030117
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1275760209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8873 ADAMS AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926463301",
            "telephone_number": "714-962-8818",
            "fax_number": "714-962-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8873 ADAMS AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926463301",
            "telephone_number": "714-962-8818",
            "fax_number": "714-962-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOSO-BRUCE CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "REYNOSO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-962-8818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC23961",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11274",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11436",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT34304",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1407030117",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1316285588",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1568640399",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215183660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Pro Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruth Naomi Reyes, FNP-BC
• Samuel Reyes, M.D.
• Yesenia Reyes
• Reynoso Chiropractic Corp
• Reynoso-Belling Chiropractic Corp
• Robert Bruce Reynoso, D.C.
• Nima Rezaei Abbassi
• Kazi Rezai, D.O.
• RH Home Health Services, Inc.
• Brian Y Rhee

• Chiropractor in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.