R Christian Jesperson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC14642 Issued in CA

Practice address

1333 N 2ND St
El Cajon, CA 92021-3434

Phone

(619) 444-4792

Fax

(619) 444-4892

NPI assigned

Apr 10, 2006

Last updated

Aug 24, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jesperson Chiropractic IncGroup PAC ID 4981931441, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Jesperson Chiropractic Inc

  dba Chiropractic Family Health Center

  • Chiropractor
  • El Cajon, CA
  • NPI 1457385080
  Medicare reassignment Care Compare group NPD Authorized official
• Jesperson Chiropractic, Inc

  dba Chiropractic Family Health Center

  • Chiropractor
  • El Cajon, CA
  • NPI 1811222987
  NPD

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1407819386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 N 2ND ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920213434",
            "telephone_number": "619-444-4792",
            "fax_number": "619-444-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 N 2ND ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920213434",
            "telephone_number": "619-444-4792",
            "fax_number": "619-444-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESPERSON",
        "first_name": "R",
        "middle_name": "CHRISTIAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC14642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF CALIFONIA",
            "identifier": "1407819386",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF CALIFORNIA",
            "identifier": "1407819386",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "830345045 B",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "XXXXX7205 92021 0000",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIF IRONWORKERS",
            "identifier": "830345045A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE-2",
            "identifier": "1457485080",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "830345045",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GBS GRP BENEFITS",
            "identifier": "830345045-003",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN #",
            "identifier": "0004488663",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER #",
            "identifier": "830345045 0006",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianne Jenks
• Dane Erik Jensen
• Haley Jensen, RBT
• Jesperson Chiropractic Inc (Chiropractic Family Health Center)
• Jesperson Chiropractic, Inc (Chiropractic Family Health Center)
• Audra Elizabeth R Jessup, RN
• Nishwan Jibri, M.D.
• Miad Jibro
• Alma Angelina Jimenez, RN
• Cesar Jimenez, DDS

• Chiropractor in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.