Active NPI
Gregory Stephen Olberg, DC
- Chiropractor
- Hayward, CA
National Provider Identifier
1043597156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 22110
- Practice address
- 22791 Foothill Blvd
Hayward, CA 94541-4207 - Phone
- (510) 886-6060
- Fax
- (510) 886-6162
- NPI assigned
- Nov 3, 2011
- Last updated
- Nov 3, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 22110 | CA | Primary |
Addresses
Primary practice location
22791 Foothill Blvd
Hayward, CA 94541-4207
Mailing address
22791 Foothill Blvd
Hayward, CA 94541-4207
Phone (510) 886-6060
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22110 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320278400000",
"number": "1043597156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22791 FOOTHILL BLVD",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945414207",
"telephone_number": "510-886-6060",
"fax_number": "510-886-6162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22791 FOOTHILL BLVD",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945414207",
"telephone_number": "510-886-6060",
"fax_number": "510-886-6162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLBERG",
"first_name": "GREGORY",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-03",
"last_updated": "2011-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "22110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.