Active NPI
Joshua Bravo Beltran, DC
- Chiropractor
- Tustin, CA
National Provider Identifier
1497394456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34652
- Practice address
- 210 W Main St Ste 102
Tustin, CA 92780-7701 - Phone
- (714) 398-8524
- NPI assigned
- Dec 22, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 34652 | CA | |
| Chiropractor | 111N00000X | 34652 | CA | Primary |
Addresses
Primary practice location
210 W Main St Ste 102
Tustin, CA 92780-7701
Mailing address
432 W Linden Dr
Orange, CA 92865-5004
Phone (724) 349-2462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6324 E Pacific Coast Hwy
Suite C
Long Beach, CA 90803-4840
Phone (562) 493-5600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34652 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloch Chiropractic Wellness and Sports Medicine PC | Chiropractor | Current | Accepting new patients |
Locations
6324 E Pacific Coast Hwy
Ste C
Long Beach, CA 90803
Phone (562) 493-5600
6342 Industry Way
Ste B
Westminster, CA 92683
Phone (714) 406-4306
Organizations & group practices 1
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.
-
- Chiropractor
- Long Beach, CA
- NPI 1295164853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576972800000",
"number": "1497394456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 W LINDEN DR",
"city": "ORANGE",
"state": "CA",
"postal_code": "928655004",
"telephone_number": "724-349-2462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W MAIN ST STE 102",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927807701",
"telephone_number": "714-398-8524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELTRAN",
"first_name": "JOSHUA",
"middle_name": "BRAVO",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-22",
"last_updated": "2019-12-22",
"certification_date": "2019-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "34652",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "34652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.