Individual provider Active NPI

Jason Christopher Sabol, DC

  • Chiropractor
  • Bakersfield, CA
National Provider Identifier
1508881038
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25418 Issued in CA
Practice address
6647 Ming Ave
Bakersfield, CA 93309-3491
Phone
(661) 837-2225
Fax
(661) 837-2233
NPI assigned
Jul 13, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 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 DC25418 CA Primary

Addresses

Primary practice location

6647 Ming Ave
Bakersfield, CA 93309-3491

Mailing address

PO Box 20910
Bakersfield, CA 93390-0910
Phone (661) 837-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120830000505 CA Practitioner - Chiropractic 7416104138 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25418CAMDPsychologist
DC25418CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
West Side Health Care District CurrentSince Jun 8, 2020 Accepting new patients
Active Life Medical & Wellness Chiropractor Past Accepting new patients

Locations

100 E North St
Taft, CA 93268
Phone (661) 765-1935

119 Adkisson Way
Taft, CA 93268
Phone (661) 765-7234

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14270/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jason.sabol.1@14270.direct.athenahealth.com

Organizations & group practices 3

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508881038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20910",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933900910",
            "telephone_number": "661-837-2225",
            "fax_number": "661-837-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6647 MING AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933093491",
            "telephone_number": "661-837-2225",
            "fax_number": "661-837-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABOL",
        "first_name": "JASON",
        "middle_name": "CHRISTOPHER",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.