Individual provider Active NPI

Jonathan E Bugh, DC

  • Chiropractor
  • Camarillo, CA
National Provider Identifier
1326032756
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC15501 Issued in CA
Practice address
5239 Mission Oaks Blvd
Camarillo, CA 93012-5403
Phone
(805) 484-7500
Fax
(805) 484-9495
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 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

Other identifiers 2

IdentifierTypeStateIssuer
P00206607OtherCARAILROAD MEDICARE
DC15501OtherCALICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120427000461 CA Practitioner - Chiropractic 4587826144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC15501CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan E. Bugh D.C. Inc. Chiropractor CurrentSince Apr 27, 2012 Accepting new patients

Locations

1297 Flynn Rd
Ste 240
Camarillo, CA 93012

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1326032756",
    "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": {
        "last_name": "BUGH",
        "first_name": "JONATHAN",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC15501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00206607",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DC15501",
            "state": "CA"
        }
    ],
    "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 Nov 1, 2011; 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.