Organization Active NPI

Jake Belabin Chiropractic Inc

Doing business as Elemental Wellness South Bay

  • Chiropractor
  • Redondo Beach, CA
National Provider Identifier
1326807090
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JAKE BELABIN CHIROPRACTIC INC
Doing business as
Elemental Wellness South Bay
Practice address
1312 Aviation Blvd Ste 104
Redondo Beach, CA 90278-4068
Phone
(607) 426-5909
NPI assigned
Mar 15, 2024
Last updated
Mar 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Dr. Jake Belabin, DCNPI 1346829223
Title
Owner
Phone
(954) 857-9123

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1312 Aviation Blvd Ste 104
Redondo Beach, CA 90278-4068

Mailing address

1312 Aviation Blvd Ste 104
Redondo Beach, CA 90278-4068
Phone (607) 426-5909

Other names 1

  • Elemental Wellness South Bay Doing business as

National Provider Directory

National Provider Directory

Locations

1312 Aviation Blvd
Ste 104
Redondo Beach, CA 90278
Phone (310) 318-3143

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1326807090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 AVIATION BLVD STE 104",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784068",
            "telephone_number": "607-426-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 AVIATION BLVD STE 104",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784068",
            "telephone_number": "607-426-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAKE BELABIN CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "BELABIN",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-857-9123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elemental Wellness South Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.