DAVID E BRESLER, PhD, LAc, DiplAc, — NPI 1053513432 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1053513432

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103TH0004X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Health

Box 32 Service Location & ZIP+4

1800 THAYER AVE, UNIT A, LOS ANGELES, CA, 90025-6180

✓ 9-Digit EDI 837 ZIP+4 (90025-6180)

Practice Phone & Referral Fax

(310) 474-2777

Fax: (310) 474-2777

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1053513432 (DAVID E BRESLER, PhD, LAc, DiplAc,) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1053513432` (NPI-1 Individual Practitioner)
Provider / Legal Name	DAVID E BRESLER, PhD, LAc, DiplAc,
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Health NUCC Code: `103TH0004X` (Psychologist, Health)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1800 THAYER AVE, UNIT A, LOS ANGELES, CA, 90025-6180
Practice Telephone / Fax	Tel: (310) 474-2777 \| Fax: (310) 474-2777
Administrative Mailing Address	30765 PACIFIC COAST HWY, MALIBU, CA, 90265-3646
Enumeration & Last Sync	Enumerated: 2007-06-05 \| CMS Record Updated: 2013-07-23

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1800 THAYER AVE, UNIT A, LOS ANGELES, CA, 90025-6180

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Plain-English Taxonomy & CMS Crosswalk (103TH0004X)

What Does Taxonomy Code 103TH0004X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TH0004X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Health"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Health for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DAVID E BRESLER, PhD, LAc, DiplAc,)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TH0004X` — Psychologist, Health Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Health	State: CA \| License: `PSY4685` \| Primary: Yes (Primary)
`171100000X` — Acupuncturist Plain English: Licensed & Credentialed Acupuncturist	State: CA \| License: `AC126` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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DAVID E BRESLER, PhD, LAc, DiplAc, (NPI #1053513432)