Individual provider Active NPI

Bruce Jordan Reitman, MD

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1447237151
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G75290 Issued in CA
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

Updated by the provider on Jun 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G752900MedicaidCA

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
I20050225000715 CA Practitioner - Anesthesiology 0143273490 Reassigns benefits to 3 organizations
Practice locations: Norwalk, CA

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
Anesthesia Specialists of Orange County IncGroup PAC ID 9830289388, 16 clinicians
Orange Coast Anesthesia IncGroup PAC ID 2466613591, 85 clinicians

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 Hospital, Los Angeles, CA, CCN 050663
  • West Anaheim Medical Center Hospital, Anaheim, CA, CCN 050426
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • College Medical Center Hospital, Long Beach, CA, CCN 050776
  • Garden Grove Hospital & Medical Center Hospital, Garden Grove, CA, CCN 050230

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75290CAMDPharmacist
G75290CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Specialists of Orange County, Inc. Anesthesiology CurrentSince Jun 17, 2011 Accepting new patients
Orange Coast Anesthesia Inc Anesthesiology CurrentSince Aug 28, 2023 Accepting new patients
Allied Anesthesia Medical Group Inc Anesthesiology CurrentSince Jul 1, 2019 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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.