Dr. Tracey a Bleahu Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DR. TRACEY A BLEAHU CHIROPRACTIC INC

Practice address

20501 Ventura Blvd Ste 102
Woodland Hills, CA 91364-2393

Phone

(818) 301-8762

Fax

(818) 301-8763

NPI assigned

Apr 19, 2019

Organization subpart

No

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

Authorized official

Name

Maria Solita Angeles Bernardino

Title

Designated Official

Phone

(818) 301-8762

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracey Ann Bleahu, D.C.

  • Nutrition Chiropractor
  • Woodland Hills, CA
  • NPI 1801035761
  Medicare reassignment NPD

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1912560426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20501 VENTURA BLVD STE 102",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642393",
            "telephone_number": "818-301-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20501 VENTURA BLVD STE 102",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642393",
            "telephone_number": "818-301-8762",
            "fax_number": "818-301-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TRACEY A BLEAHU CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "BERNARDINO",
        "authorized_official_first_name": "MARIA SOLITA",
        "authorized_official_middle_name": "ANGELES",
        "authorized_official_title_or_position": "DESIGNATED OFFICIAL",
        "authorized_official_telephone_number": "818-301-8762"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.