Active NPI
Brandon Lee Todd, D.C.
- Chiropractor
- San Luis Obispo, CA
National Provider Identifier
1093075640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 32256
- Practice address
- 1437 Higuera St
San Luis Obispo, CA 93401-2915 - Phone
- (805) 548-8633
- NPI assigned
- May 16, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 32256 | CA | Primary |
| Chiropractor | 111N00000X | B01466 | NV |
Addresses
Primary practice location
1437 Higuera St
San Luis Obispo, CA 93401-2915
Mailing address
1437 Higuera St
San Luis Obispo, CA 93401-2915
Phone (805) 548-8633
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32256 | CA | MD | Psychologist |
| B01466 | NV | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428019200000",
"number": "1093075640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1437 HIGUERA ST",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934012915",
"telephone_number": "805-548-8633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1437 HIGUERA ST",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934012915",
"telephone_number": "805-548-8633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD",
"first_name": "BRANDON",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-16",
"last_updated": "2015-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "32256",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "B01466",
"primary": false
}
],
"identifiers": [],
"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 Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.