Active NPI
Nathaniel R Elkins, D.C.
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1255666756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 31369
- Practice address
- 11500 W Olympic Blvd
Suite 364
Los Angeles, CA 90064-1524 - Phone
- (310) 445-8300
- Fax
- (310) 933-4679
- NPI assigned
- Oct 16, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 31369 | CA | Primary |
| Chiropractor | 111N00000X | CH 60106740 | WA |
Addresses
Primary practice location
11500 W Olympic Blvd
Suite 364
Los Angeles, CA 90064-1524
Mailing address
11500 W Olympic Blvd
Suite 364
Los Angeles, CA 90064-1524
Phone (310) 445-8300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110726000340 | CA | Practitioner - Chiropractic | 7618145269 | Practice locations: Los Angeles, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11500 W Olympic Blvd
Suite 364
Los Angeles, CA 90064-1528
Phone (310) 445-8300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 31369 | CA | MD | Chiropractor |
| CH 60106740 | WA | MD | Chiropractor |
| 31369 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306195200000",
"number": "1255666756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11500 W OLYMPIC BLVD",
"address_2": "SUITE 364",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641524",
"telephone_number": "310-445-8300",
"fax_number": "310-933-4679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11500 W OLYMPIC BLVD",
"address_2": "SUITE 364",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641524",
"telephone_number": "310-445-8300",
"fax_number": "310-933-4679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKINS",
"first_name": "NATHANIEL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-16",
"last_updated": "2011-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 31369",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH 60106740",
"primary": false
}
],
"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 May 24, 2011; 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.