Organization Active NPI

Parkway Chiropractic

  • Chiropractor
  • Pasadena, CA
National Provider Identifier
1285745083
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PARKWAY CHIROPRACTIC
Practice address
2700 E Foothill Blvd
Suite 202
Pasadena, CA 91107-7100
Phone
(626) 449-2000
Fax
(626) 449-2043
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jerome Randall Kershaw, D.C.
Title
Owner
Phone
(626) 449-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2700 E Foothill Blvd
Suite 202
Pasadena, CA 91107-7100

Mailing address

2700 E Foothill Blvd
Suite 202
Pasadena, CA 91107-7100
Phone (626) 449-2000

National Provider Directory

National Provider Directory

Locations

2700 E Foothill Blvd
Ste 202
Pasadena, CA 91107
Phone (626) 449-2000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285745083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E FOOTHILL BLVD",
            "address_2": "SUITE 202",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077100",
            "telephone_number": "626-449-2000",
            "fax_number": "626-449-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E FOOTHILL BLVD",
            "address_2": "SUITE 202",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077100",
            "telephone_number": "626-449-2000",
            "fax_number": "626-449-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KERSHAW",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-449-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.