Individual provider Active NPI

Bruce Lewinter, DC

  • Sports Physician Chiropractor
  • Santa Ana, CA
National Provider Identifier
1760584718
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC 16467 Issued in CA
Practice address
515 Cabrillo Park Dr
Ste 100
Santa Ana, CA 92701-5016
Phone
(949) 300-1115
Fax
(877) 618-1122
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 16467 CA
Nutrition Chiropractor 111NN1001X DC 16467 CA
Sports Physician Chiropractor 111NS0005X DC 16467 CA Primary

Addresses

Primary practice location

515 Cabrillo Park Dr
Ste 100
Santa Ana, CA 92701-5016

Mailing address

515 Cabrillo Park Dr
Ste 100
Santa Ana, CA 92701-5016
Phone (949) 300-1115

Other names 1

  • Dr. Bruce Lewinter Professional name

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
DC 16467CAMDNutrition Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1760584718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 CABRILLO PARK DR",
            "address_2": "STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015016",
            "telephone_number": "949-300-1115",
            "fax_number": "877-618-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 CABRILLO PARK DR",
            "address_2": "STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015016",
            "telephone_number": "949-300-1115",
            "fax_number": "877-618-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWINTER",
        "first_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 16467",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "DC 16467",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC 16467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRUCE",
            "last_name": "LEWINTER",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.