Ostatnigrosh Williams Chiropractic Professional Corporation

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

OSTATNIGROSH WILLIAMS CHIROPRACTIC PROFESSIONAL CORPORATION

Practice address

487 S Oak Glen Ave
Nipomo, CA 93444-9010

Phone

(559) 801-7393

NPI assigned

Mar 18, 2024

Organization subpart

No

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

Authorized official

Name

Olga Williams, DCNPI 1083324362

Title

Owner, Chiropractor

Phone

(559) 801-7393

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Olga Ostatnigrosh Williams, DC

  • Chiropractor
  • Nipomo, CA
  • NPI 1083324362

  Single Specialty

  Medicare reassignment NPD Authorized official
• Andrey Ostatnigrosh, DC

  • Chiropractor
  • Fresno, CA
  • NPI 1447074448
  Medicare reassignment NPD

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1104685353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 S OAK GLEN AVE",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934449010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 S OAK GLEN AVE",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934449010",
            "telephone_number": "559-801-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTATNIGROSH WILLIAMS CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "OWNER, CHIROPRACTOR",
        "authorized_official_telephone_number": "559-801-7393",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nipomo Dental Group of Andrew Young DDS Inc
• Nipomo Optometry Inc
• Nipomo Pharmacy Inc
• Shannon R Olson, DDS
• Romeo S Ortiz, MD
• Pacific Central Coast Health Centers
• Pacific Central Coast Health Centers
• Pacific Holistic Dental, Inc.
• Kenneth Pacofsky, M.D.
• Ben C Palmer, O.D.

• Sports Physician Chiropractor in Nipomo, CA
• Providers in Nipomo, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.