Individual provider Active NPI

Andrijana Jevtic Pitruzzello, DC

  • Chiropractor
  • Long Beach, CA
National Provider Identifier
1770020083
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32642 Issued in CA
Practice address
5175 E Pacific Coast Hwy
Suite 106
Long Beach, CA 90804-3317
Phone
(562) 270-5840
NPI assigned
Jan 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 32642 CA
Chiropractor 111N00000X 32642 CA Primary

Addresses

Primary practice location

5175 E Pacific Coast Hwy
Suite 106
Long Beach, CA 90804-3317

Mailing address

5175 E Pacific Coast Hwy
Suite 106
Long Beach, CA 90804-3317
Phone (562) 270-5840

Other names 1

  • Dr. Andrijana Jevtic Former 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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1770020083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 E PACIFIC COAST HWY",
            "address_2": "SUITE 106",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043317",
            "telephone_number": "562-270-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 E PACIFIC COAST HWY",
            "address_2": "SUITE 106",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043317",
            "telephone_number": "562-270-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITRUZZELLO",
        "first_name": "ANDRIJANA",
        "middle_name": "JEVTIC",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "32642",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDRIJANA",
            "last_name": "JEVTIC",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.