Individual provider Active NPI

Jessica Underwood, D.C.

  • Chiropractor
  • North Hollywood, CA
National Provider Identifier
1487605796
Registry record updated May 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32717 Issued in CA
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

Updated by the provider on May 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.