Individual provider Active NPI

Grayson Renbarger, D.C.

  • Chiropractor
  • Los Gatos, CA
National Provider Identifier
1366846644
Registry record updated Jul 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33065 Issued in CA
Practice address
751 Blossom Hill Rd
Suite # A2
Los Gatos, CA 95032-3583
Phone
(408) 358-2689
NPI assigned
Oct 15, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33065 CA Primary

Addresses

Primary practice location

751 Blossom Hill Rd
Suite # A2
Los Gatos, CA 95032-3583

Mailing address

751 Blossom Hill Rd
Suite # A2
Los Gatos, CA 95032-3583
Phone (408) 358-2689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150302002104 CA Practitioner - Chiropractic 8426374828 Reassigns benefits to 1 organization
Practice locations: Los Gatos, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

751 Blossom Hill Rd
Suite A1
Los Gatos, CA 95032-3583
Phone (408) 358-8180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33065CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Los Gatos Family Chiropractic Renbarger Inc Chiropractor CurrentSince Sep 6, 2017 Accepting new patients
Renbarger Chiropractic,Inc. PastSince Feb 14, 2013 Accepting new patients

Locations

16190 Los Gatos Blvd
#102
Los Gatos, CA 95032

751 Blossom Hill Rd
Ste A1
Los Gatos, CA 95032
Phone (408) 358-2689

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501113600000",
    "number": "1366846644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 BLOSSOM HILL RD",
            "address_2": "SUITE # A2",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323583",
            "telephone_number": "408-358-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 BLOSSOM HILL RD",
            "address_2": "SUITE # A2",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323583",
            "telephone_number": "408-358-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENBARGER",
        "first_name": "GRAYSON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-15",
        "last_updated": "2017-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; 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.

Verify at the official NPI Registry.