Gary T. Weckbacher, D.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

DC18169 Issued in CA

Practice address

2048 Montrose Ave
Montrose, CA 91020-1605

Phone

(818) 957-7612

Fax

(818) 957-3756

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Crescenta Family Medical, Inc.

  • Specialist
  • Montrose, CA
  • NPI 1548325228
  NPD (past) Authorized official

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1487685574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048 MONTROSE AVE",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201605",
            "telephone_number": "818-957-7612",
            "fax_number": "818-957-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2048 MONTROSE AVE",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201605",
            "telephone_number": "818-957-7612",
            "fax_number": "818-957-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WECKBACHER",
        "first_name": "GARY",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "DC18169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VP Meserkhani DDS Inc
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• Jason Sterry Waterman, PSY.D., LMFT
• Terry Noble Webber, D.D.S.
• Nicole Leigh Weingarten, M.S.
• Kelly A Wetherbee, OTR/L, DMI, SWC
• Wmax Wholesale Inc
• Elly G Wolf, MA, MFT
• Jasmine Shahrenaz Yahid, LPCC, R-DMT

• Orthopedic Chiropractor in Montrose, CA
• Providers in Montrose, CA by specialty
• Orthopedic Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.