Individual provider Active NPI

Chauchabar Bruhwiler, ACUPUNCTURIST

  • Acupuncturist
  • Big Bear Lake, CA
National Provider Identifier
1659031474
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
CA19552 Issued in CA
Practice address
265 Crystal Lake Rd Apt 6
Big Bear Lake, CA 92315-2386
Phone
(310) 463-3347
NPI assigned
Dec 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 11080 CA
Acupuncturist 171100000X CA19552 CA Primary

Addresses

Primary practice location

265 Crystal Lake Rd Apt 6
Big Bear Lake, CA 92315-2386

Mailing address

PO Box 133217
Big Bear Lake, CA 92315-8917
Phone (310) 463-3347

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

LicenseStateTypeSpecialty
11080CAMDAcupuncturist
CA19552CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
PCH Wellness Center, Inc. Current 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": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1659031474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 133217",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923158917",
            "telephone_number": "310-463-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 CRYSTAL LAKE RD APT 6",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923152386",
            "telephone_number": "310-463-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUHWILER",
        "first_name": "CHAUCHABAR",
        "name_prefix": "Mrs.",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "11080",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "CA19552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Bear Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.