Active NPI
Jennewein Chiropractic, Inc.
- Chiropractor
- Lomita, CA
National Provider Identifier
1427104637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 16429
- Legal business name
- JENNEWEIN CHIROPRACTIC, INC.
- Practice address
- 25448 Narbonne Ave
Lomita, CA 90717-2124 - Phone
- (310) 326-2804
- Fax
- (310) 534-5166
- NPI assigned
- Jan 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. BJ Jennewein, D.C.
- Title
- President-Owner
- Phone
- (310) 326-2804
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 16429 | CA | Primary |
| Chiropractor | 111N00000X | 15961 | CA |
Addresses
Primary practice location
25448 Narbonne Ave
Lomita, CA 90717-2124
Mailing address
25448 Narbonne Ave
Lomita, CA 90717-2124
Phone (310) 326-2804
Other names 1
- JENNEWEIN CHIROPRACTIC, INC.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
25448 Narbonne Ave
Lomita, CA 90717
Phone (310) 326-2804
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Chiropractor
- Lomita, CA
- NPI 1821142696
-
- Chiropractor
- Lomita, CA
- NPI 1801173281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1427104637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25448 NARBONNE AVE",
"city": "LOMITA",
"state": "CA",
"postal_code": "907172124",
"telephone_number": "310-326-2804",
"fax_number": "310-534-5166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25448 NARBONNE AVE",
"city": "LOMITA",
"state": "CA",
"postal_code": "907172124",
"telephone_number": "310-326-2804",
"fax_number": "310-534-5166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNEWEIN CHIROPRACTIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JENNEWEIN",
"authorized_official_first_name": "BJ",
"authorized_official_title_or_position": "PRESIDENT-OWNER",
"authorized_official_telephone_number": "310-326-2804",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "16429",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "15961",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JENNEWEIN CHIROPRACTIC, INC.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Lomita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.