PB Chiropractic Inc.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

27356 Issued in CA

Legal business name

PB CHIROPRACTIC INC.

Doing business as

Grand Avenue Chiropractic

Practice address

910 Grand Ave
Suite 109
San Diego, CA 92109-4046

Phone

(858) 273-1721

Fax

(858) 273-3207

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Edward Lloyd Pinson, D.C.

Title

President

Phone

(858) 273-1721

Specialties & licenses 1

Addresses

Other names 1

• Grand Avenue Chiropractic Doing business as

Tax ID family

Grand Avenue Chiropractic2 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.

• Pinson Chiropractic, Professional Corporation

  • Chiropractor
  • San Diego, CA
  • NPI 1912061177
  NPD tax ID

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164479713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 GRAND AVE",
            "address_2": "SUITE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094046",
            "telephone_number": "858-273-1721",
            "fax_number": "858-273-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 GRAND AVE",
            "address_2": "SUITE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094046",
            "telephone_number": "858-273-1721",
            "fax_number": "858-273-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PB CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PINSON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-273-1721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "27356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Avenue Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexander Pazevic, DO
• Brian S Pazevic, M.D.
• Mahmood Pazirandeh, MD, FACP, FACR
• Gloria Pazos
• PB Acu
• PB Therapeutic Massage
• PB Wellness, LLC
• Eleanor Pe
• Jonathan Pe, PT
• Katelyn Passey Pe, N.P.

• Sports Physician Chiropractor in San Diego, CA
• Providers in San Diego, 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 Aug 22, 2020; 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.