Individual provider Active NPI

Bruce Leonard Handloff, D.C.

  • Chiropractor
  • Capitola, CA
National Provider Identifier
1336210558
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC17173 Issued in CA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
DC17173CAMDChiropractor
17173CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.