Individual provider Active NPI

Leah Rae Gladden, D.C.

  • Chiropractor
  • Simi Valley, CA
National Provider Identifier
1407890833
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27915 Issued in CA
Practice address
990 Enchanted Way
Simi Valley, CA 93065-0915
Phone
(805) 520-2929
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 27915 CA Primary

Addresses

Primary practice location

990 Enchanted Way
Simi Valley, CA 93065-0915

Mailing address

1864 Stoneman St
Simi Valley, CA 93065-1123
Phone (805) 526-8685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27915CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosaasen Physical Medicine Inc Chiropractor PastSince Oct 23, 2010 Accepting new patients
Gladden Hunter Chiropractic Corporation Chiropractor Past Accepting new patients
Rosaasen Physical Medicine Inc. Past Accepting new patients

Organizations & group practices 3

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1407890833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1864 STONEMAN ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651123",
            "telephone_number": "805-526-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 ENCHANTED WAY",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930650915",
            "telephone_number": "805-520-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADDEN",
        "first_name": "LEAH",
        "middle_name": "RAE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "27915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.