Organization Active NPI

Elk Grove Natural Health

  • Chiropractor
  • Elk Grove, CA
National Provider Identifier
1326293184
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
17995 Issued in CA
Legal business name
ELK GROVE NATURAL HEALTH
Practice address
9748 Elk Grove Florin Rd
Elk Grove, CA 95624-2236
Phone
(916) 685-2240
Fax
(916) 685-5222
NPI assigned
Nov 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Dr. Brad Jensen James, DCNPI 1639100274
Title
Manager
Phone
(916) 685-2240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 17995 CA Primary

Addresses

Primary practice location

9748 Elk Grove Florin Rd
Elk Grove, CA 95624-2236

Mailing address

9748 Elk Grove Florin Rd
Elk Grove, CA 95624-2236
Phone (916) 685-2240

National Provider Directory

National Provider Directory

Locations

9748 Elk Grove Florin Rd
Elk Grove, CA 95624
Phone (916) 685-2240

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": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1326293184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9748 ELK GROVE FLORIN RD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242236",
            "telephone_number": "916-685-2240",
            "fax_number": "916-685-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9748 ELK GROVE FLORIN RD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242236",
            "telephone_number": "916-685-2240",
            "fax_number": "916-685-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK GROVE NATURAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "JENSEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "916-685-2240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "17995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.