George I Jacob Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC27611 Issued in CA

Legal business name

GEORGE I JACOB CHIROPRACTIC, INC

Practice address

3516 Oakdale Rd
Suite C
Modesto, CA 95357-0727

Phone

(209) 595-5711

NPI assigned

May 10, 2007

Last updated

Jan 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George Isaac Jacob, D.C.

Title

President

Phone

(209) 595-5711

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ravi Gogna, MD

  • Emergency Medicine Physician
  • Modesto, CA
  • NPI 1447338355
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1174737639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578700",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953578700",
            "telephone_number": "209-595-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 OAKDALE RD",
            "address_2": "SUITE C",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953570727",
            "telephone_number": "209-595-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE I JACOB CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ISAAC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-595-5711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4532436",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DC27611",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genesis
• Genesis TMS Operating, LLC
• Genesiscare USA of California a Medical Corporation (GenesisCare of California A Medical Corporation)
• Cathy Lynn Gentry, CAS
• Taylor Gentry
• Elaine Christine George-Pardini, PHARM.D.
• Anitha Choorakulam George, NP
• Brandon George
• Renee Esther George, PHARMD
• Riley George

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.