Individual provider Active NPI

Jasdeep Henshaw, D.C.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1518317932
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33621 Issued in CA
Practice address
5230 Carroll Canyon Rd
Ste 204
San Diego, CA 92121-1780
Phone
(858) 453-0366
NPI assigned
Jun 16, 2016
Last updated
Mar 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC33621 CA
Chiropractor 111N00000X 33621 CA Primary

Addresses

Primary practice location

5230 Carroll Canyon Rd
Ste 204
San Diego, CA 92121-1780

Mailing address

PO Box 1176
Cardiff, CA 92007-7176
Phone (858) 509-7999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160816002555 CA Practitioner - Chiropractic 0648565531 Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5230 Carroll Canyon Rd
Suite 204
San Diego, CA 92121-1780
Phone (858) 453-0366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC33621CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Visico Chiropractic, Inc. Chiropractor CurrentSince Dec 1, 2019 Accepting new patients
Jasdeep Henshaw, D.C. Chiropractor CurrentSince Jun 21, 2022 Accepting new patients
Welsh Chiropractic Inc PastSince Jan 1, 2026 Accepting new patients
Greater Harmony Acupuncture & Herbal Medicine PastSince Dec 1, 2019 Accepting new patients

Locations

5230 Carroll Canyon Rd
Ste 204
San Diego, CA 92121
Phone (858) 453-0366

5850 Oberlin Dr
Ste 220
San Diego, CA 92121
Phone (858) 453-0366

Organizations & group practices 4

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": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1518317932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1176",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920077176",
            "telephone_number": "858-509-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 CARROLL CANYON RD",
            "address_2": "STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211780",
            "telephone_number": "858-453-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSHAW",
        "first_name": "JASDEEP",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC33621",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.