Individual provider Active NPI

Joshua Brevick Jefferds, ND

  • Naprapath
  • Sacramento, CA
National Provider Identifier
1487975553
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaprapathTaxonomy code 172P00000X
License
1747 Issued in OR
Practice address
3808 Auburn Blvd Ste 41
Sacramento, CA 95821-2122
Phone
(916) 482-5200
NPI assigned
Jun 11, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naprapath 172P00000X 1747 OR Primary

Addresses

Primary practice location

3808 Auburn Blvd Ste 41
Sacramento, CA 95821-2122

Mailing address

3808 Auburn Blvd Ste 41
Sacramento, CA 95821-2122
Phone (916) 482-5200

Other practice location 1

200 Gregory Ln Ste B101
Pleasant Hill, CA 94523-3353
Phone (925) 375-1906

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1487975553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 AUBURN BLVD STE 41",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212122",
            "telephone_number": "916-482-5200",
            "fax_number": "916-482-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 AUBURN BLVD STE 41",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212122",
            "telephone_number": "916-482-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Gregory Ln Ste B101",
            "address_purpose": "LOCATION",
            "city": "Pleasant Hill",
            "state": "CA",
            "postal_code": "945233353",
            "country_code": "US",
            "telephone_number": "925-375-1906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFERDS",
        "first_name": "JOSHUA",
        "middle_name": "BREVICK",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-11",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172P00000X",
            "taxonomy_group": "",
            "desc": "Naprapath",
            "state": "OR",
            "license": "1747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

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