Brian Gonzales Chiropractic Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BRIAN GONZALES CHIROPRACTIC INC

Practice address

2200 Hamner Ave Ste 100
Norco, CA 92860-2673

Phone

(951) 805-3077

Fax

(951) 278-4436

NPI assigned

Jun 29, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Brian P Gonzales, DSNPI 1790969970

Title

Owner

Phone

(951) 805-3077

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Pizarro Gonzales, D.C.

  • Chiropractor
  • Corona, CA
  • NPI 1790969970
  Medicare reassignment NPD Authorized official
• Cynthia J. Benkert, D.C.

  • Nutrition Chiropractor
  • Mira Loma, CA
  • NPI 1215985353
  NPD (past)

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1457038689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 HAMNER AVE STE 100",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928602673",
            "telephone_number": "951-805-3077",
            "fax_number": "951-278-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HAMNER AVE STE 100",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928602673",
            "telephone_number": "951-805-3077",
            "fax_number": "951-278-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN GONZALES CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-805-3077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kyshanna Dionne Bolton
• Alexis Chrispens Boyer, PT
• Victor A Branker, PSY.D
• Raevyn Britt
• Emma Brownlow
• Buckingham Counseling Inc
• Wendy Buckingham, LMFT
• Priscylla Bueno

• Clinic/Center in Norco, CA
• Providers in Norco, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.