Robert Bruce Stewart, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 6392 Issued in CA

Practice address

600 Palm Ave Ste 112
Imperial Beach, CA 91932-1245

Phone

(619) 392-0937

Fax

(619) 565-2288

NPI assigned

Sep 15, 2006

Last updated

Feb 12, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sage Traditions Acupuncture Inc

  • Clinic/Center
  • Imperial Beach, CA
  • NPI 1235960329
  NPD Authorized official

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1447356613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 762",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919330762",
            "telephone_number": "619-392-0937",
            "fax_number": "619-565-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PALM AVE STE 112",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919321245",
            "telephone_number": "619-392-0937",
            "fax_number": "619-565-2288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "667 Palm Ave",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "Imperial Beach",
            "state": "CA",
            "postal_code": "919321243",
            "country_code": "US",
            "telephone_number": "619-423-2326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "ROBERT",
        "middle_name": "BRUCE",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 6392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solara Medical Supplies, LLC (Imperial Beach Pharmacy)
• South Bay Union School District
• Bonnie Lynne Spector, OD
• Colette Spencer, RN
• Ssmib Opco LLC
• Sun and Sea Assisted Living, LLC
• Patrick Swank, DPT
• Tamimi Medical Group (Silver Strand Wellness Center, APMC)
• Tamara Dee Thacker, IDC
• Alaysa Thygersen, FNP-BC

• Acupuncturist in Imperial Beach, CA
• Providers in Imperial Beach, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.