Active NPI
Jason Stoddard, D.C.
- Chiropractor
- Long Beach, CA
National Provider Identifier
1104219690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33217
- Practice address
- 1777 N Bellflower Blvd
Suite 107
Long Beach, CA 90815-4013 - Phone
- (562) 280-3770
- NPI assigned
- Mar 9, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 33217 | CA | Primary |
Addresses
Primary practice location
1777 N Bellflower Blvd
Suite 107
Long Beach, CA 90815-4013
Mailing address
1777 N Bellflower Blvd
Suite 107
Long Beach, CA 90815-4013
Phone (562) 280-3770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24002 Via Fabricante
Suite 501
Mission Viejo, CA 92691-3934
Phone (949) 454-8811
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33217 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Rehab & Wellness Center, Inc. | Chiropractor | Current | Accepting new patients |
Locations
24002 Via Fabricante
Ste 501
Mission Viejo, CA 92691
Phone (949) 454-8811
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": "1425859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1104219690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 N BELLFLOWER BLVD",
"address_2": "SUITE 107",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908154013",
"telephone_number": "562-280-3770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 N BELLFLOWER BLVD",
"address_2": "SUITE 107",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908154013",
"telephone_number": "562-280-3770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STODDARD",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-09",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.