Individual provider Active NPI

Gregory William Becker, DC

  • Chiropractor
  • San Mateo, CA
National Provider Identifier
1205890738
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28343 Issued in CA
Practice address
212 N San Mateo Dr Ste B
San Mateo, CA 94401-2690
Phone
(650) 340-1110
Fax
(650) 340-1115
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 28343 CA
Chiropractor 111N00000X DC28343 CA Primary

Addresses

Primary practice location

212 N San Mateo Dr Ste B
San Mateo, CA 94401-2690

Mailing address

212 N San Mateo Dr Ste B
San Mateo, CA 94401-2690
Phone (650) 340-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091228000279 CA Practitioner - Chiropractic 8628118577 Receives reassigned benefits from 1 practitioner
Practice locations: San Mateo, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

215 N San Mateo Dr
Suite 3
San Mateo, CA 94401-2674
Phone (650) 340-1110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC28343CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Becker Chiropractic Chiropractor CurrentSince Mar 24, 2015 Accepting new patients

Locations

215 N San Mateo Dr
Ste 3
San Mateo, CA 94401
Phone (650) 340-1110

212 N San Mateo Dr
Ste B
San Mateo, CA 94401
Phone (650) 340-1110

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1205890738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N SAN MATEO DR STE B",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012690",
            "telephone_number": "650-340-1110",
            "fax_number": "650-340-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N SAN MATEO DR STE B",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012690",
            "telephone_number": "650-340-1110",
            "fax_number": "650-340-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "GREGORY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "28343",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.