Keith Jeffers, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC16428 Issued in CA

Practice address

7770 Regents Rd Ste 105
San Diego, CA 92122-1937

Phone

(858) 452-7770

Fax

(858) 452-0027

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jeffers Chiropractic and Sports Injuries, Inc.

  • Chiropractor
  • San Diego, CA
  • NPI 1851223879
  NPD Authorized official
• Jeffers Chiropractic

  • Chiropractor
  • San Diego, CA
  • NPI 1740095587
  NPD (past) Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194806935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7770 REGENTS RD STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221937",
            "telephone_number": "858-452-7770",
            "fax_number": "858-452-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7770 REGENTS RD STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221937",
            "telephone_number": "858-452-7770",
            "fax_number": "858-452-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERS",
        "first_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC16428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Mae Jefferies, O.T.
• Jeffers Chiropractic
• Jeffers Chiropractic and Sports Injuries, Inc.
• Eden Rae Jeffers
• Joseph Jeffers, M.F.T.
• Scott Jeffers, D.C.
• Deanna Jefferson, LCSW
• Jewels Jefferson
• Spencer Freres Jefferson, IDHS
• Tariq Jefferson

• 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.