Active NPI
Bruce D Gaudino, D.C.
- Chiropractor
- Diamond Bar, CA
National Provider Identifier
1972637056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC13914
- Practice address
- 1950 S Brea Canyon Rd
Suite 6
Diamond Bar, CA 91765-4015 - Phone
- (909) 612-1060
- Fax
- (909) 612-1059
- NPI assigned
- Mar 14, 2007
- Last updated
- Feb 3, 2009
- Sex
- Male
- Sole proprietor
- No
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 | DC13914 | CA | Primary |
Addresses
Primary practice location
1950 S Brea Canyon Rd
Suite 6
Diamond Bar, CA 91765-4015
Mailing address
1950 S Brea Canyon Rd
Suite 6
Diamond Bar, CA 91765-4015
Phone (909) 612-1060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ78449Z | Other | CA | BCBS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC13914 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233619200000",
"number": "1972637056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 S BREA CANYON RD",
"address_2": "SUITE 6",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917654015",
"telephone_number": "909-612-1060",
"fax_number": "909-612-1059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 S BREA CANYON RD",
"address_2": "SUITE 6",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917654015",
"telephone_number": "909-612-1060",
"fax_number": "909-612-1059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUDINO",
"first_name": "BRUCE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2009-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC13914",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "ZZZ78449Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Diamond Bar, CA
- Alina Wanling Gad, DDS
- Winnie Wanjiru Gakobo
- Yajaira Garcia, PHT
- Garfield Beach CVS LLC (CVS Pharmacy #17259)
- Garfield Beach CVS LLC (CVS Pharmacy 09667)
- Sanford Thomas Gaum, DDS
- Sneha Ankush Gawade
- Lawrence Wayman Gee, PHARM D
- George Xenakis, DDS, PC (U Dream Dental - Diamond Bar)
- Christina K Georgescu
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.