Individual provider Active NPI

Gregory P Vrankovich, D.C.

  • Chiropractor
  • Oakland, CA
National Provider Identifier
1497991525
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31096 Issued in CA
Practice address
311 Oak St Ste C2
Oakland, CA 94607-4635
Phone
(510) 655-3456
NPI assigned
Dec 18, 2008
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31096 CA Primary

Addresses

Primary practice location

311 Oak St Ste C2
Oakland, CA 94607-4635

Mailing address

PO Box 11105
Oakland, CA 94611-0105
Phone (510) 655-3456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101209000050 CA Practitioner - Chiropractic 3072700616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vrankovich Chiropractic IncGroup PAC ID 8123189701, 2 clinicians

Practice addresses (Care Compare)

311 Oak St
Suite C2
Oakland, CA 94607-4601

311 Oak St
Suite C2
Oakland, CA 94607-4635
Phone (510) 655-3456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31096CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Vrankovich Chiropractic Inc Chiropractor CurrentSince Sep 21, 2010 Accepting new patients
Mint Medical Center PC CurrentSince Jan 6, 2022 Accepting new patients

Locations

311 Oak St
Ste C2
Oakland, CA 94607
Phone (510) 655-3456

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1497991525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11105",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946110105",
            "telephone_number": "510-655-3456",
            "fax_number": "510-655-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 OAK ST STE C2",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074635",
            "telephone_number": "510-655-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VRANKOVICH",
        "first_name": "GREGORY",
        "middle_name": "P",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-18",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.