Individual provider Active NPI

Roger Christopher McGath, D.C., L.AC

  • Chiropractor
  • San Pedro, CA
National Provider Identifier
1104141084
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC31561 Issued in CA
Practice address
732 W 9TH St Ste 205
San Pedro, CA 90731-3629
Phone
(310) 833-3819
Fax
(310) 833-3818
NPI assigned
Apr 2, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC31561 CA Primary
Acupuncturist 171100000X AC7657 CA

Addresses

Primary practice location

732 W 9TH St Ste 205
San Pedro, CA 90731-3629

Mailing address

732 W 9TH St Ste 205
San Pedro, CA 90731-3629
Phone (310) 833-3819

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210120000507 CA Practitioner - Chiropractic 2365855061 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC31561CAMDChiropractor
AC7657CAMDAcupuncturist
31561CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
McGath Chiropractic, Inc. Chiropractor CurrentSince Nov 1, 2020 Accepting new patients

Locations

732 W 9th St
Ste 205
San Pedro, CA 90731
Phone (310) 833-3819

Organizations & group practices 1

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": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1104141084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 W 9TH ST STE 205",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313629",
            "telephone_number": "310-833-3819",
            "fax_number": "310-833-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 W 9TH ST STE 205",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313629",
            "telephone_number": "310-833-3819",
            "fax_number": "310-833-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGATH",
        "first_name": "ROGER",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.C., L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-02",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31561",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC7657",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.