Active NPI
Scott a Dubrul, Chiropractic Corporation
- Chiropractor
- San Luis Obispo, CA
National Provider Identifier
1083739841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC22650
- Legal business name
- SCOTT A DUBRUL, CHIROPRACTIC CORPORATION
- Practice address
- 1422 Monterey St Ste A201
San Luis Obispo, CA 93401-2954 - Phone
- (805) 781-9155
- Fax
- (805) 781-0104
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Lynn Dubrul
- Title
- Office Manager
- Phone
- (805) 781-9155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC22650 | CA | Primary |
Addresses
Primary practice location
1422 Monterey St Ste A201
San Luis Obispo, CA 93401-2954
Mailing address
1422 Monterey St Ste A201
San Luis Obispo, CA 93401-2954
Phone (805) 781-9155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 570498505 | Other | CA | SS # & OLD TAX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1422 Monterey St
Ste A201
San Luis Obispo, CA 93401
Phone (760) 505-1662
1422 Monterey St
San Luis Obispo, CA 93401
Phone (805) 234-2127
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- San Luis Obispo, CA
- NPI 1174521231
-
- Chiropractor
- San Luis Obispo, CA
- NPI 1972389229
-
- Chiropractor
- Santa Maria, CA
- NPI 1386153666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518739200000",
"number": "1083739841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1422 MONTEREY ST STE A201",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934012954",
"telephone_number": "805-781-9155",
"fax_number": "805-781-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1422 MONTEREY ST STE A201",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934012954",
"telephone_number": "805-781-9155",
"fax_number": "805-781-0104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT A DUBRUL, CHIROPRACTIC CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2018-02-16",
"status": "A",
"authorized_official_last_name": "DUBRUL",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "805-781-9155"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC22650",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SS # & OLD TAX",
"identifier": "570498505",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.