NPI
Jordan Lewis Bugarske
NPI 1316480981
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- PTA
- Type
- Individual
- Enumeration date
- 2016-11-29
- Last updated
- 2018-03-17
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Specialties
Licenses
- License NV
- A-0930
- License CA
- 9220
Location
- Practice location
- 2170 South Ave
- City
- South Lake Tahoe CA
- Postal code
- 96150-7026
- Phone
- (530) 543-5896
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in South Lake Tahoe, CA. 715 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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