Organization Active NPI

Jay R. Robbins D.C.

  • Nutrition Chiropractor
  • Covina, CA
National Provider Identifier
1295950574
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
20369 Issued in CA
Legal business name
JAY R. ROBBINS D.C.
Practice address
245 W Badillo St Ste E
Covina, CA 91723-1923
Phone
(626) 967-6461
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Authorized official

Name
Dr. Jay R Robbins, D.C.
Title
Owner President
Phone
(626) 967-6461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X 20369 CA Primary

Addresses

Primary practice location

245 W Badillo St Ste E
Covina, CA 91723-1923

Mailing address

245 W Badillo St Ste E
Covina, CA 91723-1923
Phone (626) 967-6461

Other identifiers 1

IdentifierTypeStateIssuer
95-3394768OtherCATAX ID

Other names 1

  • ELSER CHIROPRACTIC CLINIC Other name

National Provider Directory

National Provider Directory

Locations

245 W Badillo St
Ste E
Covina, CA 91723
Phone (626) 967-6416

245 W Badillo St
Covina, CA 91723

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": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1295950574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W BADILLO ST STE E",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231923",
            "telephone_number": "626-967-6461",
            "fax_number": "626-332-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W BADILLO ST STE E",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231923",
            "telephone_number": "626-967-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY R. ROBBINS D.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "626-967-6461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "20369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "95-3394768",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELSER CHIROPRACTIC CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.