Active NPI
Justin Traille, DC
- Chiropractor
- Pleasanton, CA
National Provider Identifier
1710557558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34762
- Practice address
- 7051 Commerce Cir Ste B
Pleasanton, CA 94588-8028 - Phone
- (925) 462-5557
- NPI assigned
- Jun 24, 2021
- Last updated
- Jun 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 34762 | CA | Primary |
Addresses
Primary practice location
7051 Commerce Cir Ste B
Pleasanton, CA 94588-8028
Mailing address
7051 Commerce Cir Ste B
Pleasanton, CA 94588-8028
Phone (925) 462-5557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruce Chiropractic Corporation | Single Specialty | Current | Accepting new patients |
Locations
7051 Commerce Cir
Ste B
Pleasanton, CA 94588
Phone (925) 462-5557
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1710557558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7051 COMMERCE CIR STE B",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945888028",
"telephone_number": "925-462-5557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7051 COMMERCE CIR STE B",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945888028",
"telephone_number": "925-462-5557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAILLE",
"first_name": "JUSTIN",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-24",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "34762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.