Gary Woodward, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC17963 Issued in CA

Practice address

2175 Foothill Blvd Ste a
La Verne, CA 91750-2958

Phone

(909) 593-2566

Fax

(909) 593-6809

NPI assigned

Sep 13, 2006

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

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Woodward Chiropractic Inc.

  • Chiropractor
  • La Verne, CA
  • NPI 1396927471
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1033214523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 FOOTHILL BLVD STE A",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917502958",
            "telephone_number": "909-593-2566",
            "fax_number": "909-593-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 FOOTHILL BLVD STE A",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917502958",
            "telephone_number": "909-593-2566",
            "fax_number": "909-593-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "GARY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC17963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilia Carreon Willis
• Donte Witherspoon
• Josephine Wong
• Tan Lin Wong, MD
• Woodward Chiropractic Inc.
• Cristal Workman
• Cristina Wucetich, MFTI
• Jason Yonemoto, MPT
• Moheb S Youssef, M D
• Youtherapy Psychological Services, Inc.

• Chiropractor in La Verne, CA
• Providers in La Verne, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.