Active NPI
Jordan Pitcher Brand, DC
- Chiropractor
- Lake Elsinore, CA
National Provider Identifier
1235696030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 35139
- Practice address
- 31577 Canyon Estates Dr Ste 225
Lake Elsinore, CA 92532-0473 - Phone
- (909) 283-0048
- Fax
- (951) 916-4895
- NPI assigned
- Feb 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 60925593 | WA | |
| Chiropractor | 111N00000X | 35139 | CA | Primary |
Addresses
Primary practice location
31577 Canyon Estates Dr Ste 225
Lake Elsinore, CA 92532-0473
Mailing address
29259 Stampede Way
Canyon Lake, CA 92587-7634
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 |
|---|---|---|---|
| 60925593 | WA | MD | Chiropractor |
| 35139 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1235696030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29259 STAMPEDE WAY",
"city": "CANYON LAKE",
"state": "CA",
"postal_code": "925877634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31577 CANYON ESTATES DR STE 225",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925320473",
"telephone_number": "909-283-0048",
"fax_number": "951-916-4895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAND",
"first_name": "JORDAN",
"middle_name": "PITCHER",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-27",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "60925593",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "35139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.