Organization Active NPI

California Oaks Chiropractic, Inc.

  • Chiropractor
  • Murrieta, CA
National Provider Identifier
1134488729
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CALIFORNIA OAKS CHIROPRACTIC, INC.
Practice address
40710 California Oaks Rd
Suite a
Murrieta, CA 92562-5727
Phone
(951) 698-2511
Fax
(951) 698-0108
NPI assigned
May 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Keith L KruthaupNPI 1447374616
Title
Chiropractor
Phone
(951) 698-2511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

40710 California Oaks Rd
Suite a
Murrieta, CA 92562-5727

Mailing address

40710 California Oaks Rd
Suite a
Murrieta, CA 92562-5727
Phone (951) 698-2511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120705000171 CA Part B Supplier - Clinic/Group Practice 8921263500 Receives reassigned benefits from 2 practitioners
Practice locations: Murrieta, CA

National Provider Directory

National Provider Directory
Tax ID family
California Oaks Chiropractic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

40710 California Oaks Rd
Ste A
Murrieta, CA 92562
Phone (951) 698-2511

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1134488729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40710 CALIFORNIA OAKS RD",
            "address_2": "SUITE A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625727",
            "telephone_number": "951-698-2511",
            "fax_number": "951-698-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40710 CALIFORNIA OAKS RD",
            "address_2": "SUITE A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625727",
            "telephone_number": "951-698-2511",
            "fax_number": "951-698-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA OAKS CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "KRUTHAUP",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "951-698-2511"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.