Bruce M. Dichter, MD

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

G24991 Issued in CA

Practice address

1025 Old Farm Road # 8
Thousand Oaks, CA 91360

Phone

(805) 373-0511

Fax

(805) 374-1167

NPI assigned

Nov 15, 2011

Last updated

Nov 15, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1841577186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 OLD FARM ROAD # 8",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91360",
            "telephone_number": "805-373-0511",
            "fax_number": "805-374-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 OLD FARM ROAD # 8",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91360",
            "telephone_number": "805-373-0511",
            "fax_number": "805-374-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICHTER",
        "first_name": "BRUCE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "CA",
            "license": "G24991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne Di Puma
• Irene Di Raffael, MSW PHD
• Laura Diamond, M.S., CCC
• Lori Diamond, PHARM.D.
• Julisa Maricela Diaz
• Steven Brian Dickey, DDS
• Matthew Diconti, CMT
• Chase Diego
• Brent David Diehl, MD
• Digestive Health Center of Thousand Oaks, LLC

• Health Educator in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Health Educator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.