Individual provider Active NPI

Bruno Patrick Giannotta, D.C.

  • Chiropractor
  • Valley Village, CA
National Provider Identifier
1346367778
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15211 Issued in CA
Practice address
5301 Laurel Canyon Blvd Ste 120
Valley Village, CA 91607-2768
Phone
(818) 802-4477
NPI assigned
Mar 22, 2007
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 15211 CA Primary

Addresses

Primary practice location

5301 Laurel Canyon Blvd Ste 120
Valley Village, CA 91607-2768

Mailing address

2465 Shields St
La Crescenta, CA 91214-1544
Phone (818) 802-4477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346367778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 SHIELDS ST",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141544",
            "telephone_number": "818-802-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 LAUREL CANYON BLVD STE 120",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072768",
            "telephone_number": "818-802-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNOTTA",
        "first_name": "BRUNO",
        "middle_name": "PATRICK",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "15211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.