Individual provider Active NPI

Jon Zachary Stockton, DC

  • Chiropractor
  • Pleasant Hill, CA
National Provider Identifier
1285088419
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 31975 Issued in CA
Practice address
620 Contra Costa Blvd
Suite 203
Pleasant Hill, CA 94523-1550
Phone
(925) 680-8917
Fax
(925) 680-0308
NPI assigned
Apr 13, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 31975 CA Primary

Addresses

Primary practice location

620 Contra Costa Blvd
Suite 203
Pleasant Hill, CA 94523-1550

Mailing address

620 Contra Costa Blvd
Suite 203
Pleasant Hill, CA 94523-1550
Phone (925) 680-8917

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161221001888 CA Practitioner - Chiropractic 1658652102 Practice locations: Pleasant Hill, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 31975CAMDChiropractor
31975CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1285088419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CONTRA COSTA BLVD",
            "address_2": "SUITE 203",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231550",
            "telephone_number": "925-680-8917",
            "fax_number": "925-680-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CONTRA COSTA BLVD",
            "address_2": "SUITE 203",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231550",
            "telephone_number": "925-680-8917",
            "fax_number": "925-680-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKTON",
        "first_name": "JON",
        "middle_name": "ZACHARY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 31975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.