Individual provider Active NPI

Eric G Mortensen, D.C.

  • Chiropractor
  • Ventura, CA
National Provider Identifier
1073675971
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
24888 Issued in CA
Practice address
4517 Market St
Suite 1
Ventura, CA 93003-7710
Phone
(805) 650-5929
Fax
(805) 650-5947
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 24888 CA Primary

Addresses

Primary practice location

4517 Market St
Suite 1
Ventura, CA 93003-7710

Mailing address

4517 Market St
Suite 1
Ventura, CA 93003-7710
Phone (805) 650-5929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4517 Market St
Suite 1
Ventura, CA 93003-7841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24888CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pomeroy Chiropractic Inc Chiropractor CurrentSince Jul 1, 2025 Accepting new patients
Eric G Mortensen Chiropractic Inc Chiropractor CurrentSince Sep 19, 2017 Accepting new patients

Locations

4517 Market St
Ste 1
Ventura, CA 93003
Phone (805) 650-5929

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.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1073675971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 MARKET ST",
            "address_2": "SUITE 1",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037710",
            "telephone_number": "805-650-5929",
            "fax_number": "805-650-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 MARKET ST",
            "address_2": "SUITE 1",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037710",
            "telephone_number": "805-650-5929",
            "fax_number": "805-650-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTENSEN",
        "first_name": "ERIC",
        "middle_name": "G",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "24888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.