Active NPI
Jeffrey Scott McCombs, DC
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1205105061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 21428
- Practice address
- 12821 Coral Tree PL
Los Angeles, CA 90066-7018 - Phone
- (310) 827-1030
- NPI assigned
- Dec 23, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 21428 | CA | Primary |
Addresses
Primary practice location
12821 Coral Tree PL
Los Angeles, CA 90066-7018
Mailing address
12821 Coral Tree PL
Los Angeles, CA 90066-7018
Phone (310) 827-1030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 21428 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324598400000",
"number": "1205105061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12821 CORAL TREE PL",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900667018",
"telephone_number": "310-827-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12821 CORAL TREE PL",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900667018",
"telephone_number": "310-827-1030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOMBS",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-23",
"last_updated": "2011-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 21428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.