Active NPI
Bruce Leonard Handloff, D.C.
- Chiropractor
- Capitola, CA
National Provider Identifier
1336210558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC17173
- Practice address
- 4895 Capitola Rd
Capitola, CA 95010-3810 - Phone
- (831) 476-7766
- Fax
- (831) 476-7781
- NPI assigned
- Nov 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC17173 | CA | Primary |
Addresses
Primary practice location
4895 Capitola Rd
Capitola, CA 95010-3810
Mailing address
4895 Capitola Rd
Capitola, CA 95010-3810
Phone (831) 476-7766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120417000320 | CA | Practitioner - Chiropractic | 6608037767 | Practice locations: Capitola, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4895 Capitola Rd
Capitola, CA 95010-3810
Phone (831) 476-7766
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC17173 | CA | MD | Chiropractor |
| 17173 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexander Wulff | Past | Accepting new patients |
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.
-
- Exclusive Provider Organization
- Capitola, CA
- NPI 1114301447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336210558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4895 CAPITOLA RD",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950103810",
"telephone_number": "831-476-7766",
"fax_number": "831-476-7781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4895 CAPITOLA RD",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950103810",
"telephone_number": "831-476-7766",
"fax_number": "831-476-7781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANDLOFF",
"first_name": "BRUCE",
"middle_name": "LEONARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC17173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Capitola, CA
Sources for this page
- 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.