Organization Active NPI

Bernstein Elite Sports Chiropractic Corp.

  • Chiropractor
  • Woodland Hills, CA
National Provider Identifier
1154864783
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30985 Issued in CA
Legal business name
BERNSTEIN ELITE SPORTS CHIROPRACTIC CORP.
Doing business as
Elite Sports Medicine
Practice address
22554 Ventura Blvd
#130
Woodland Hills, CA 91364-1413
Phone
(818) 222-1120
Fax
(818) 222-1138
NPI assigned
Nov 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Dr. Matthew David Bernstein, DCNPI 1710134127
Title
Director
Phone
(818) 222-1120

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 DC30985 CA Primary

Addresses

Primary practice location

22554 Ventura Blvd
#130
Woodland Hills, CA 91364-1413

Mailing address

22554 Ventura Blvd
#130
Woodland Hills, CA 91364-1413
Phone (818) 222-1120

Other names 1

  • Elite Sports Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

22554 Ventura Blvd
Ste 130
Woodland Hills, CA 91364
Phone (818) 222-1120

Practitioners & affiliated clinicians

Practitioners 1

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": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1154864783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22554 VENTURA BLVD",
            "address_2": "#130",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641413",
            "telephone_number": "818-222-1120",
            "fax_number": "818-222-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22554 VENTURA BLVD",
            "address_2": "#130",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641413",
            "telephone_number": "818-222-1120",
            "fax_number": "818-222-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNSTEIN ELITE SPORTS CHIROPRACTIC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-222-1120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.