Brian Takeshi Ito, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

30009 Issued in CA

Practice address

4247 Telegraph Rd
Ventura, CA 93003-3705

Phone

(805) 644-5563

Fax

(805) 644-3430

NPI assigned

May 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Los Angeles, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ito Chiropractic Corporation

  • Chiropractor
  • Ventura, CA
  • NPI 1932652054
  Medicare reassignment NPD Authorized official
• Cocain Chiropractic Corporation

  • Chiropractor
  • Ventura, CA
  • NPI 1629149281
  NPD (past)
• Infusion4Health

  • Infusion Therapy Clinic/Center
  • Thousand Oaks, CA
  • NPI 1508262213
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1104876275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5277 MEADOWRIDGE CT",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930124128",
            "telephone_number": "805-383-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4247 TELEGRAPH RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033705",
            "telephone_number": "805-644-5563",
            "fax_number": "805-644-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITO",
        "first_name": "BRIAN",
        "middle_name": "TAKESHI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlein Iskandar, PHARMACIST
• Island View Gastroenterology Assoc.
• Amal Ismael, DDS
• Roberta Itami, NNP
• Ito Chiropractic Corporation
• Shelley L Ivy Hurguy, CRNA
• Lukasz Iwanczyk, M.D.
• Mari Iwasaki, MD
• Gosta W. Iwasiuk, M.D.
• Hekmat Izzat

• Chiropractor in Ventura, CA
• Providers in Ventura, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.

Verify at the official NPI Registry.