Individual provider Active NPI

Gregory A Bamberger, DC

  • Chiropractor
  • Irvine, CA
National Provider Identifier
1487766671
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25305 Issued in CA
Practice address
6 Venture
Suite 115
Irvine, CA 92618-3340
Phone
(949) 559-6030
Fax
(949) 559-6037
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25305 CA Primary

Addresses

Primary practice location

6 Venture
Suite 115
Irvine, CA 92618-3340

Mailing address

6 Venture
Suite 115
Irvine, CA 92618-3340
Phone (949) 559-6030

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC25305CAMDChiropractor
25305CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1487766671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 VENTURE",
            "address_2": "SUITE 115",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183340",
            "telephone_number": "949-559-6030",
            "fax_number": "949-559-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 VENTURE",
            "address_2": "SUITE 115",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183340",
            "telephone_number": "949-559-6030",
            "fax_number": "949-559-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMBERGER",
        "first_name": "GREGORY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.