Active NPI
William Geoffrey Gulick, D.C.
- Chiropractor
- Wilmington, CA
National Provider Identifier
1003061979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC24390
- Practice address
- 512 N Avalon Blvd
Wilmington, CA 90744-5806 - Phone
- (310) 522-5811
- Fax
- (310) 830-3840
- NPI assigned
- Nov 19, 2008
- 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 | DC24390 | CA | Primary |
Addresses
Primary practice location
512 N Avalon Blvd
Wilmington, CA 90744-5806
Mailing address
PO Box 128
Pacific Palisades, CA 90272-0128
Phone (310) 570-8334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC24390 | Other | CA | BOARD OF CHIROPRACTIC EXAMINERS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulick and Rubens Chiropractic, Inc. | Chiropractor | Current | Accepting new patients |
| Port Medical Wellness, Inc. | Chiropractor | Past | Accepting new patients |
Locations
4360 Sepulveda Blvd
Culver City, CA 90230
Phone (310) 398-2727
601 W 8th St
San Pedro, CA 90731
Phone (310) 832-0258
Organizations & group practices 2
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.
-
- Chiropractor
- San Pedro, CA
- NPI 1073823043
-
- Orthopaedic Surgery Physician
- Wilmington, CA
- NPI 1104077569
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227052800000",
"number": "1003061979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 128",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902720128",
"telephone_number": "310-570-8334",
"fax_number": "310-496-0288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 N AVALON BLVD",
"city": "WILMINGTON",
"state": "CA",
"postal_code": "907445806",
"telephone_number": "310-522-5811",
"fax_number": "310-830-3840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULICK",
"first_name": "WILLIAM",
"middle_name": "GEOFFREY",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-19",
"last_updated": "2008-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC24390",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CHIROPRACTIC EXAMINERS",
"identifier": "DC24390",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.