L. Ferguson Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC29983 Issued in CA

Legal business name

L. FERGUSON CHIROPRACTIC INC.

Doing business as

Back Pain Relief Chiropractic

Practice address

4861 Convoy St
San Diego, CA 92111-1610

Phone

(858) 458-5144

Fax

(858) 458-5950

NPI assigned

Jun 8, 2012

Last updated

Oct 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leland Lucky Ferguson, D.C.NPI 1265616965

Title

Chiropractor/Owner

Phone

(858) 458-5144

Specialties & licenses 1

Addresses

Other names 1

• Back Pain Relief Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leland Ferguson, D.C.

  • Chiropractor
  • San Diego, CA
  • NPI 1265616965
  Medicare reassignment Authorized official
• Pejman P Behrouzi, D.C.

  • Chiropractor
  • Encinitas, CA
  • NPI 1336210954
  NPD (past)
• Jason Morrison, D.C.

  • Chiropractor
  • San Diego, CA
  • NPI 1275603607
  NPD (past)
• Dawn Denise Sandberg, D.C.

  • Chiropractor
  • San Diego, CA
  • NPI 1760519300
  NPD (past)
• Jeremy Von Buelow, D.C.

  • Chiropractor
  • San Diego, CA
  • NPI 1487856597
  NPD (past)
• Byung Nam Lee, DC

  • Chiropractor
  • Adephi, MD
  • NPI 1558890780
  NPD (past)

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1265794929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4861 CONVOY ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111610",
            "telephone_number": "858-458-5144",
            "fax_number": "858-458-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 CONVOY ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111610",
            "telephone_number": "858-458-5144",
            "fax_number": "858-458-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. FERGUSON CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "LELAND",
        "authorized_official_middle_name": "LUCKY",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "858-458-5144",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back Pain Relief Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.