Active NPI
Bobbie Elaine Hall, D.C., CCSP
- Sports Physician Chiropractor
- Riverside, CA
National Provider Identifier
1497774939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC26061
- Practice address
- 18876 Van Buren Blvd # 206
Riverside, CA 92508-9114 - Phone
- (951) 789-7671
- Fax
- (951) 789-7604
- NPI assigned
- Jul 18, 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | DC26061 | CA | Primary |
Addresses
Primary practice location
18876 Van Buren Blvd # 206
Riverside, CA 92508-9114
Mailing address
18876 Van Buren Blvd # 206
Riverside, CA 92508-9114
Phone (951) 789-7671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070910000526 | CA | Practitioner - Chiropractic | 1355434184 | Practice locations: Riverside, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26061 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1497774939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18876 VAN BUREN BLVD # 206",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925089114",
"telephone_number": "951-789-7671",
"fax_number": "951-789-7604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18876 VAN BUREN BLVD # 206",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925089114",
"telephone_number": "951-789-7671",
"fax_number": "951-789-7604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "BOBBIE",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "D.C., CCSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "DC26061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.