Bruce David Wasserman, L.AC., O.M.D.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC1330 Issued in CA

Practice address

8121 Van Nuys Blvd Ste 502
Panorama City, CA 91402-5123

Phone

(818) 906-0808

Fax

(818) 781-2293

NPI assigned

Jul 26, 2007

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

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

• Michael Bazelyansky, MD, a Professional Medical Corporation

  • General Practice Physician
  • Bell, CA
  • NPI 1447478532
  NPD (past)
• Pacific Neuro Diagnostic Medical Group, Inc.

  • Orthopaedic Surgery Physician
  • Panorama City, CA
  • NPI 1033318761
  NPD (past)

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1982894838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8121 VAN NUYS BLVD STE 502",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914025123",
            "telephone_number": "818-906-0808",
            "fax_number": "818-781-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 VAN NUYS BLVD STE 502",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914025123",
            "telephone_number": "818-906-0808",
            "fax_number": "818-781-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMAN",
        "first_name": "BRUCE",
        "middle_name": "DAVID",
        "credential": "L.AC., O.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC1330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc.
• Walmart, Inc.
• Robert Francis Walsh, M.P.T.
• Esther Chuan Wah Wang-O'Connell, MD
• Sophia Wang
• Gerald R. Watkins, MD
• Bryce Mitchell Wawrzyniak
• Wecare Health Management, Inc.
• Wecare Health Management, Inc.
• Sabrina Deeba Wedee, DO

• Acupuncturist in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.

Verify at the official NPI Registry.