Active NPI
Robert Martin Deluca, D.C.
- Chiropractor
- San Bernardino, CA
National Provider Identifier
1740323708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12389
- Practice address
- 980 N D St
San Bernardino, CA 92410-3520 - Phone
- (909) 884-1277
- Fax
- (909) 381-6237
- NPI assigned
- Feb 15, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 12389 | CA | Primary |
Addresses
Primary practice location
980 N D St
San Bernardino, CA 92410-3520
Mailing address
980 N D St
San Bernardino, CA 92410-3520
Phone (909) 884-1277
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12389 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234483200000",
"number": "1740323708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 N D ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924103520",
"telephone_number": "909-884-1277",
"fax_number": "909-381-6237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 N D ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924103520",
"telephone_number": "909-884-1277",
"fax_number": "909-381-6237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELUCA",
"first_name": "ROBERT",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2009-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "12389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.