Individual provider Active NPI

Seth Mittleman, D.C.

  • Chiropractor
  • Pasadena, CA
National Provider Identifier
1508947813
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC22562 Issued in CA
Practice address
131 N El Molino Ave
Suite 140
Pasadena, CA 91101-1873
Phone
(626) 793-9915
Fax
(626) 793-4654
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC22562 CA Primary

Addresses

Primary practice location

131 N El Molino Ave
Suite 140
Pasadena, CA 91101-1873

Mailing address

131 N El Molino Ave
Suite 140
Pasadena, CA 91101-1873
Phone (626) 793-9915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050414000546 CA Practitioner - Chiropractic 4789621319 Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC22562CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Health Center Chiropractor Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508947813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N EL MOLINO AVE",
            "address_2": "SUITE 140",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011873",
            "telephone_number": "626-793-9915",
            "fax_number": "626-793-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N EL MOLINO AVE",
            "address_2": "SUITE 140",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011873",
            "telephone_number": "626-793-9915",
            "fax_number": "626-793-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTLEMAN",
        "first_name": "SETH",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.