Organization Active NPI

Bostrom Chiropractic Corporation

  • Chiropractor
  • Santa Cruz, CA
National Provider Identifier
1427418375
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31983 Issued in CA
Legal business name
BOSTROM CHIROPRACTIC CORPORATION
Practice address
1414 Soquel Ave Ste 102
Santa Cruz, CA 95062-2125
Phone
(831) 459-8434
Fax
(831) 459-8434
NPI assigned
Mar 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Bjorn Bostrom, D.C.
Title
Owner
Phone
(831) 459-8434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 31983 CA Primary

Addresses

Primary practice location

1414 Soquel Ave Ste 102
Santa Cruz, CA 95062-2125

Mailing address

1414 Soquel Ave Ste 102
Santa Cruz, CA 95062-2125
Phone (831) 459-8434

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160307002109 CA Part B Supplier - Clinic/Group Practice 3678879319 Practice locations: Santa Cruz, CA

National Provider Directory

National Provider Directory

Locations

1414 Soquel Ave
Ste 102
Santa Cruz, CA 95062
Phone (831) 459-8434

149 Josephine St
Ste A
Santa Cruz, CA 95060
Phone (831) 200-4217

NPI Registry JSON

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1427418375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 SOQUEL AVE STE 102",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622125",
            "telephone_number": "831-459-8434",
            "fax_number": "831-459-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 SOQUEL AVE STE 102",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622125",
            "telephone_number": "831-459-8434",
            "fax_number": "831-459-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTROM CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "BOSTROM",
        "authorized_official_first_name": "BJORN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-459-8434",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.

Verify at the official NPI Registry.