Active NPI
Jared P Hjelmstad, DC
- Chiropractor
- Temecula, CA
National Provider Identifier
1508954272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC22006
- Practice address
- 29377 Rancho California Rd
#106
Temecula, CA 92591 - Phone
- (951) 676-8686
- Fax
- (951) 676-5158
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC22006 | CA | Primary |
Addresses
Primary practice location
29377 Rancho California Rd
#106
Temecula, CA 92591
Mailing address
29377 Rancho California Rd
#106
Temecula, CA 92591
Phone (951) 676-8686
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22006 | Other | CA | STATE LIC NUMBER |
| DC0220060 | Other | CA | BLUE SHIELD |
| DC0220060 | Other | CA | BLUE CROSS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22006 | CA | MD | Clinical Social Worker |
| DC22006 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208995200000",
"number": "1508954272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29377 RANCHO CALIFORNIA RD",
"address_2": "#106",
"city": "TEMECULA",
"state": "CA",
"postal_code": "92591",
"telephone_number": "951-676-8686",
"fax_number": "951-676-5158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29377 RANCHO CALIFORNIA RD",
"address_2": "#106",
"city": "TEMECULA",
"state": "CA",
"postal_code": "92591",
"telephone_number": "951-676-8686",
"fax_number": "951-676-5158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HJELMSTAD",
"first_name": "JARED",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2008-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC22006",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC NUMBER",
"identifier": "22006",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "DC0220060",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "DC0220060",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.