Individual provider Active NPI

Tracey Ann Bleahu, D.C.

  • Nutrition Chiropractor
  • Woodland Hills, CA
National Provider Identifier
1801035761
Registry record updated Feb 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
31031 Issued in CA
Practice address
5959 Topanga Canyon Blvd
181
Woodland Hills, CA 91367-3630
Phone
(818) 999-6590
Fax
(818) 999-1182
NPI assigned
Feb 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 31031 CA Primary

Addresses

Primary practice location

5959 Topanga Canyon Blvd
181
Woodland Hills, CA 91367-3630

Mailing address

5959 Topanga Canyon Blvd
181
Woodland Hills, CA 91367-3630
Phone (818) 999-6590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101130000238 CA Practitioner - Chiropractic 5092901215 Reassigns benefits to 1 organization
Practice locations: Woodland Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5016 Chesebro Rd
Suite 100
Agoura Hills, CA 91301-2274
Phone (310) 463-8762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Tracey a Bleahu Chiropractic Inc CurrentSince Sep 27, 2017 Accepting new patients
Byrnes Family Chiropractic,Inc. Past Accepting new patients

Locations

5016 Chesebro Rd
Ste 100
Agoura Hills, CA 91301
Phone (310) 463-8762

20501 Ventura Blvd
Ste 102
Woodland Hills, CA 91364
Phone (310) 463-8762

Organizations & group practices 2

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": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234742400000",
    "number": "1801035761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 TOPANGA CANYON BLVD",
            "address_2": "181",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673630",
            "telephone_number": "818-999-6590",
            "fax_number": "818-999-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 TOPANGA CANYON BLVD",
            "address_2": "181",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673630",
            "telephone_number": "818-999-6590",
            "fax_number": "818-999-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEAHU",
        "first_name": "TRACEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-16",
        "last_updated": "2009-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "31031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.