Active NPI
Gregory Lynn Stafford, D.C.
- Chiropractor
- Clovis, CA
National Provider Identifier
1316965940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 27867
- Practice address
- 1420 Shaw Ave Ste 103
Clovis, CA 93611-4072 - Phone
- (559) 298-9511
- NPI assigned
- Jul 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 27867 | CA | Primary |
Addresses
Primary practice location
1420 Shaw Ave Ste 103
Clovis, CA 93611-4072
Mailing address
6026 N. Greenwood Ave.
Clovis, CA 93619
Phone (559) 322-1862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040917001070 | CA | Practitioner - Chiropractic | 4789652736 |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1420 Shaw Ave
Suite 103
Clovis, CA 93611-4072
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 27867 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316965940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6026 N. GREENWOOD AVE.",
"city": "CLOVIS",
"state": "CA",
"postal_code": "93619",
"telephone_number": "559-322-1862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 SHAW AVE STE 103",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936114072",
"telephone_number": "559-298-9511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFORD",
"first_name": "GREGORY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 27867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
- Spitzers Physical Therapy and Personal Training Center, Inc. (Spitzer's Physical Therapy, Inc)
- Nicole Susan Spooner, RDH
- Sandeep Singh Sran, FNP
- Ranjani Srinivasan, RD
- Vishalakshi Sriram, DDS
- Kathy A Steele, LCSW
- Rhonda Honora Stehman, M.A., CCC-SLP
- Jessica Stendel, F.N.P
- Kaela Stephens, LPCC, NCC
- Lenzy Stephenson, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.