Organization Active NPI

Ulberg Healing Choices & Chiropractic, Inc

  • Sports Physician Chiropractor
  • Thousand Oaks, CA
National Provider Identifier
1093206641
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC25942 Issued in CA
Legal business name
ULBERG HEALING CHOICES & CHIROPRACTIC, INC
Practice address
901 Greenwich Dr
Thousand Oaks, CA 91360-6022
Phone
(805) 449-2646
NPI assigned
May 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Authorized official

Name
Dr. Jeri Ulberg, DCNPI 1770612418
Title
Doctor
Phone
(805) 449-2646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X DC25942 CA Primary

Addresses

Primary practice location

901 Greenwich Dr
Thousand Oaks, CA 91360-6022

Mailing address

901 Greenwich Dr
Thousand Oaks, CA 91360-6022
Phone (805) 449-2646

Other names 1

  • Healing Choices Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180806002704 CA Part B Supplier - Clinic/Group Practice 7911255096 Receives reassigned benefits from 1 practitioner
Practice locations: Thousand Oaks, CA; Marina del Rey, CA

National Provider Directory

National Provider Directory

Locations

12764 W Washington Blvd
Los Angeles, CA 90066
Phone (818) 266-7599

762 Washington Blvd
Marina del Rey, CA 90292
Phone (818) 266-7599

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1093206641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 GREENWICH DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606022",
            "telephone_number": "805-449-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 GREENWICH DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606022",
            "telephone_number": "805-449-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULBERG HEALING CHOICES & CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "ULBERG",
        "authorized_official_first_name": "JERI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "805-449-2646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC25942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Choices",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.