Active NPI
Bruce Jordan Reitman, MD
- Anesthesiology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G75290
- Practice address
- 4081 E Olympic Blvd
Los Angeles, CA 90023 - Phone
- (323) 267-0477
- NPI assigned
- Dec 23, 2005
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G75290 | CA | Primary |
Addresses
Primary practice location
4081 E Olympic Blvd
Los Angeles, CA 90023
Mailing address
4347 Portage St NW Ste 102
North Canton, OH 44720-7371
Phone (800) 527-0336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G752900 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Tufts University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 W la Palma Ave
Anaheim, CA 92801-2804
Phone (714) 774-1450
1301 N Rose Dr
Placentia, CA 92870-3802
Phone (714) 993-2000
Hospital & facility affiliations
- Los Angeles Community Hospital
- West Anaheim Medical Center
- Uci Health-Orange
- College Medical Center
- Garden Grove Hospital & Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75290 | CA | MD | Pharmacist |
| G75290 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Specialists of Orange County, Inc. | Anesthesiology | Current | Accepting new patients |
| Orange Coast Anesthesia Inc | Anesthesiology | Current | Accepting new patients |
| Allied Anesthesia Medical Group Inc | Anesthesiology | Current | Accepting new patients |
| Gary Chinghuei Kao MD Inc | Anesthesiology | Past | Accepting new patients |
Locations
3033 W Orange Ave
Anaheim, CA 92804
Phone (714) 229-5649
1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450
1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900
2776 Pacific Ave
Long Beach, CA 90806
Phone (562) 595-1911
2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011
455 S Main St
Orange, CA 92868
Phone (714) 289-4511
1301 N Rose Dr
Placentia, CA 92870
Phone (714) 524-4252
15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Anaheim, CA
- NPI 1134311319
-
- Anesthesiology Physician
- Orange, CA
- NPI 1508138256
-
- Anesthesiology Physician
- Orange, CA
- NPI 1346267267
-
- Anesthesiology Physician
- Garden Grove, CA
- NPI 1063647774
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1922001809
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1215373626
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1871501916
-
- General Acute Care Hospital
- Garden Grove, CA
- NPI 1659538858
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528156800000",
"number": "1447237151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4347 PORTAGE ST NW STE 102",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447207371",
"telephone_number": "800-527-0336",
"fax_number": "714-973-2655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4081 E OLYMPIC BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90023",
"telephone_number": "323-267-0477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REITMAN",
"first_name": "BRUCE",
"middle_name": "JORDAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-23",
"last_updated": "2018-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G75290",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G752900",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.