Active NPI
Jessica Underwood, D.C.
- Chiropractor
- North Hollywood, CA
National Provider Identifier
1487605796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 32717
- Practice address
- 5652 Vineland Ave Ste 201
North Hollywood, CA 91601-2062 - Phone
- (818) 237-0894
- Fax
- (818) 239-4504
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 32717 | CA | Primary |
Addresses
Primary practice location
5652 Vineland Ave Ste 201
North Hollywood, CA 91601-2062
Mailing address
11045 Camarillo St Apt 106
North Hollywood, CA 91602-1294
Phone (818) 237-0894
Other practice location 1
15037 Ventura Blvd
Sherman Oaks, CA 91403-2442
Phone (818) 237-0894
Other practice location 2
18040 Sherman Way Fl 4
Reseda, CA 91335-4637
Phone (818) 980-8990
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Neurology and Rehab | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Brunswick, GA
- NPI 1912003401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653177600000",
"number": "1487605796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11045 CAMARILLO ST APT 106",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916021294",
"telephone_number": "818-237-0894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5652 VINELAND AVE STE 201",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916012062",
"telephone_number": "818-237-0894",
"fax_number": "818-239-4504"
}
],
"practiceLocations": [
{
"address_1": "15037 Ventura Blvd",
"address_purpose": "LOCATION",
"city": "Sherman Oaks",
"state": "CA",
"postal_code": "914032442",
"country_code": "US",
"telephone_number": "818-237-0894",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18040 Sherman Way Fl 4",
"address_purpose": "LOCATION",
"city": "Reseda",
"state": "CA",
"postal_code": "913354637",
"country_code": "US",
"telephone_number": "818-980-8990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UNDERWOOD",
"first_name": "JESSICA",
"name_prefix": "Mrs.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2022-05-22",
"certification_date": "2022-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "32717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.