Organization Active NPI

Gina Brown Chiropractic Inc.

  • Chiropractor
  • La Habra, CA
National Provider Identifier
1134732258
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GINA BROWN CHIROPRACTIC INC.
Practice address
721 W Whittier Blvd Ste C
La Habra, CA 90631-3771
Phone
(562) 905-3434
Fax
(562) 905-2626
NPI assigned
Aug 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Dr. Gina Lynn Brown, DCNPI 1710080122
Title
Ceo
Phone
(562) 905-3434

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

721 W Whittier Blvd Ste C
La Habra, CA 90631-3771

Mailing address

721 W Whittier Blvd Ste C
La Habra, CA 90631-3771
Phone (562) 905-3434

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210512000549 CA Part B Supplier - Clinic/Group Practice 7416366000 Receives reassigned benefits from 1 practitioner
Practice locations: La Habra, CA

National Provider Directory

National Provider Directory

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": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1134732258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W WHITTIER BLVD STE C",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313771",
            "telephone_number": "562-905-3434",
            "fax_number": "562-905-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W WHITTIER BLVD STE C",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313771",
            "telephone_number": "562-905-3434",
            "fax_number": "562-905-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA BROWN CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-905-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.