Individual provider Active NPI

Greggory Nicolas Elias, DC

  • Chiropractor
  • Long Beach, CA
National Provider Identifier
1104630607
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC37166 Issued in CA
Practice address
3960 N Studebaker Rd Ste 102
Long Beach, CA 90808-2458
Phone
(562) 982-4208
NPI assigned
Feb 4, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC37166 CA Primary

Addresses

Primary practice location

3960 N Studebaker Rd Ste 102
Long Beach, CA 90808-2458

Mailing address

11445 216TH St Apt 17
Lakewood, CA 90715-2524
Phone (925) 813-4582

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC37166CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wimmer and Redman Chiropractic Inc Chiropractor CurrentSince Feb 9, 2025 Accepting new patients
Apex Physical Medicine CurrentSince Feb 9, 2025 Accepting new patients

Locations

3960 N Studebaker Rd
Ste 102
Long Beach, CA 90808
Phone (562) 982-4208

Organizations & group practices 2

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": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1104630607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11445 216TH ST APT 17",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907152524",
            "telephone_number": "925-813-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 N STUDEBAKER RD STE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082458",
            "telephone_number": "562-982-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAS",
        "first_name": "GREGGORY",
        "middle_name": "NICOLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC37166",
            "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 Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.