Individual provider Active NPI

Bruce Michael Schlecter, M.D.

  • Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
  • Glendale, CA
National Provider Identifier
1437125838
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084H0002X
License
G31391 Issued in CA
Practice address
1809 Verdugo Blvd
#210
Glendale, CA 91208-1402
Phone
(818) 790-8511
Fax
(818) 790-8513
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G31391 CA
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician 2084H0002X G31391 CA Primary

Addresses

Primary practice location

1809 Verdugo Blvd
#210
Glendale, CA 91208-1402

Mailing address

1809 Verdugo Blvd Ste 210
Glendale, CA 91208-1402
Phone (818) 790-8512

Other practice location 1

1343 N Grand Ave Ste 200
Covina, CA 91724-4043
Phone (800) 953-5955

Other practice location 2

1343 N Grand Ave Ste 200
Covina, CA 91724-4043
Phone (800) 953-5955

Other practice location 3

1809 Verdugo Blvd
#210
Glendale, CA 91208-1402
Phone (818) 790-8511

Other identifiers 3

IdentifierTypeStateIssuer
0G313910OtherCACA MEDI-CAL
953192779OtherCABLUE CROSS OF CA
00G313910OtherCABLUE SHIELD OF CA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address referral@vitas.direct.kno2fy.com VITAS HEALTH SERVICES OF CALIFORNIA INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110426000556 CA Practitioner - NeurologyPractitioner - Hospice/Palliative Care 3476738006 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31391CAMDClinical Psychologist
G31391CAMDHospice and Palliative Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitas Health Services of California Inc CurrentSince Oct 11, 2011 Accepting new patients

Locations

1343 N Grand Ave
Ste 200
Covina, CA 91724
Phone (626) 389-9747

1343 N Grand Ave
Ste 100
Covina, CA 91724
Phone (626) 918-2273

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1437125838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 VERDUGO BLVD STE 210",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081402",
            "telephone_number": "818-790-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 VERDUGO BLVD",
            "address_2": "#210",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081402",
            "telephone_number": "818-790-8511",
            "fax_number": "818-790-8513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1343 N Grand Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917244043",
            "country_code": "US",
            "telephone_number": "800-953-5955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1343 N Grand Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917244043",
            "country_code": "US",
            "telephone_number": "800-953-5955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1809 Verdugo Blvd",
            "address_2": "#210",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912081402",
            "country_code": "US",
            "telephone_number": "818-790-8511",
            "fax_number": "818-790-8513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHLECTER",
        "first_name": "BRUCE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G31391",
            "primary": false
        },
        {
            "code": "2084H0002X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "G31391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDI-CAL",
            "identifier": "0G313910",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF CA",
            "identifier": "953192779",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "00G313910",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referral@vitas.direct.kno2fy.com",
            "affiliation": "Y",
            "affiliationName": "VITAS HEALTH SERVICES OF CALIFORNIA INC",
            "address_1": "1343 N Grand Ave Ste 200",
            "city": "Covina",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917244043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.