Individual provider Active NPI

Jordan Leal Ziegler, DC

  • Chiropractor
  • Spring Valley, CA
National Provider Identifier
1023767324
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC36293 Issued in CA
Practice address
9676 Campo Rd Ste B
Spring Valley, CA 91977-1251
Phone
(619) 465-9700
NPI assigned
Mar 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC36293 CA Primary

Addresses

Primary practice location

9676 Campo Rd Ste B
Spring Valley, CA 91977-1251

Mailing address

PO Box 3265
Rancho Santa Fe, CA 92067-3265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221004001860 CA Practitioner - Chiropractic 2961888664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9676 Campo Rd
Suite B
Spring Valley, CA 91977-1251
Phone (619) 465-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC36293CAMDChiropractor
36293CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
GCWL Spring Valley Jordan Chiropractic, Inc. Chiropractor CurrentSince Apr 17, 2022 Accepting new patients
Dr Jordan DC Greenlight Chiropractic Lake Forest Ca PC CurrentSince Sep 16, 2023 Accepting new patients

Locations

9676 Campo Rd
Ste B
Spring Valley, CA 91977
Phone (619) 465-9700

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1023767324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3265",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920673265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9676 CAMPO RD STE B",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919771251",
            "telephone_number": "619-465-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEGLER",
        "first_name": "JORDAN",
        "middle_name": "LEAL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.