Organization Active NPI

Venerable Chiropractic, Inc

  • Chiropractor
  • San Gabriel, CA
National Provider Identifier
1174792162
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VENERABLE CHIROPRACTIC, INC
Practice address
206 East Las Tunas Drive
Suite 2
San Gabriel, CA 91776
Phone
(626) 285-5831
Fax
(323) 337-8111
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Dr. Brian Keith Venerable, D.C.
Title
President/Ceo
Phone
(626) 285-5831

Specialties & licenses 1

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

Addresses

Primary practice location

206 East Las Tunas Drive
Suite 2
San Gabriel, CA 91776

Mailing address

206 East Las Tunas Drive
Suite 2
San Gabriel, CA 91776
Phone (626) 285-5831

Other names 1

  • Venerable Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

206 E Las Tunas Dr
Ste 2
San Gabriel, CA 91776
Phone (626) 246-8417

9130 Las Tunas Dr
Temple City, CA 91780
Phone (626) 286-8200

Practitioners & affiliated clinicians

Practitioners 4

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": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1174792162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 EAST LAS TUNAS DRIVE",
            "address_2": "SUITE 2",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "91776",
            "telephone_number": "626-285-5831",
            "fax_number": "323-337-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 EAST LAS TUNAS DRIVE",
            "address_2": "SUITE 2",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "91776",
            "telephone_number": "626-285-5831",
            "fax_number": "323-337-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENERABLE CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "VENERABLE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "626-285-5831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Venerable Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Gabriel, CA

Sources for this page

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