Active NPI
Leslie Walton Bellwood Jr., D.C.
- Chiropractor
- Rancho Cucamonga, CA
National Provider Identifier
1962604652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10130
- Practice address
- 8645 Haven Ave
Suite 700
Rancho Cucamonga, CA 91730-4818 - Phone
- (909) 941-0633
- Fax
- (909) 945-5372
- NPI assigned
- Jun 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10130 | CA | Primary |
Addresses
Primary practice location
8645 Haven Ave
Suite 700
Rancho Cucamonga, CA 91730-4818
Mailing address
8645 Haven Ave
Suite 700
Rancho Cucamonga, CA 91730-4818
Phone (909) 941-0633
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10130 | CA | MD | Hearing Instrument Specialist |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962604652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8645 HAVEN AVE",
"address_2": "SUITE 700",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917304818",
"telephone_number": "909-941-0633",
"fax_number": "909-945-5372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8645 HAVEN AVE",
"address_2": "SUITE 700",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917304818",
"telephone_number": "909-941-0633",
"fax_number": "909-945-5372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLWOOD",
"first_name": "LESLIE",
"middle_name": "WALTON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "10130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.