Individual provider Active NPI

Donald Jerry Baune, D.C.

  • Neurology Chiropractor
  • Lomita, CA
National Provider Identifier
1861507204
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
DC13277 Issued in CA
Practice address
25409 Narbonne Ave
Lomita, CA 90717-2125
Phone
(310) 325-6210
Fax
(310) 530-1913
NPI assigned
Aug 19, 2006
Last updated
Dec 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X DC13277 CA Primary

Addresses

Primary practice location

25409 Narbonne Ave
Lomita, CA 90717-2125

Mailing address

25409 Narbonne Ave
Lomita, CA 90717-2125
Phone (310) 325-6210

Other identifiers 4

IdentifierTypeStateIssuer
1205166675OtherCAGROUP NPI
CV134ZOtherCAINDIVIDUAL PTAN
CV133AOtherCAGROUP PTAN
DC13277OtherCACHIROPRACTIC LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100309000295 CA Practitioner - Chiropractic 3072658566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25409 Narbonne Ave
Lomita, CA 90717-2125
Phone (310) 325-6210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC13277CAMDNeurology Chiropractor
13277CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Donald Baune Chiropractic Inc. Neurology CurrentSince Jan 2, 2008 Accepting new patients

Locations

25409 Narbonne Ave
Lomita, CA 90717
Phone (310) 325-6210

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1861507204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25409 NARBONNE AVE",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172125",
            "telephone_number": "310-325-6210",
            "fax_number": "310-530-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25409 NARBONNE AVE",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172125",
            "telephone_number": "310-325-6210",
            "fax_number": "310-530-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUNE",
        "first_name": "DONALD",
        "middle_name": "JERRY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CA",
            "license": "DC13277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1205166675",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "CV134Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "CV133A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "DC13277",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lomita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.