Active NPI
Jose Bermudez, DAOM; DIPL OM; L.AC.
- Acupuncturist
- Reseda, CA
National Provider Identifier
1457768319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 15484
- Practice address
- 19231 Victory Blvd Ste 550
Reseda, CA 91335-6382 - Phone
- (818) 432-1470
- Fax
- (818) 432-1472
- NPI assigned
- Jul 11, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 15484 | CA | Primary |
Addresses
Primary practice location
19231 Victory Blvd Ste 550
Reseda, CA 91335-6382
Mailing address
19231 Victory Blvd Ste 550
Reseda, CA 91335-6382
Phone (818) 432-1470
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC 15484 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1457768319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19231 VICTORY BLVD STE 550",
"city": "RESEDA",
"state": "CA",
"postal_code": "913356382",
"telephone_number": "818-432-1470",
"fax_number": "818-432-1472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19231 VICTORY BLVD STE 550",
"city": "RESEDA",
"state": "CA",
"postal_code": "913356382",
"telephone_number": "818-432-1470",
"fax_number": "818-432-1472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMUDEZ",
"first_name": "JOSE",
"credential": "DAOM; DIPL OM; L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-11",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 15484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.