Organization Active NPI

Lifeteam Health

  • Occupational Health Chiropractor
  • Los Gatos, CA
National Provider Identifier
1598024606
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
License
DC27208 Issued in CA
Legal business name
LIFETEAM HEALTH
Practice address
306 Andrews St
Los Gatos, CA 95030-5301
Phone
(408) 421-1460
NPI assigned
May 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Darrell Bruga, D.C.
Title
Owner
Phone
(408) 421-1460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NX0100X DC27208 CA Primary

Addresses

Primary practice location

306 Andrews St
Los Gatos, CA 95030-5301

Mailing address

306 Andrews St
Los Gatos, CA 95030-5301
Phone (408) 421-1460

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1598024606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 ANDREWS ST",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950305301",
            "telephone_number": "408-421-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 ANDREWS ST",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950305301",
            "telephone_number": "408-421-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETEAM HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "BRUGA",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-421-1460",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Occupational Health",
            "state": "CA",
            "license": "DC27208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.