Gregory Clyde Bates, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14548 Issued in CA

Practice address

131 N Tustin Ave Ste 104
Tustin, CA 92780-2937

Phone

(714) 544-3904

Fax

(714) 710-9010

NPI assigned

Mar 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1528037066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28100 MODJESKA CANYON RD",
            "city": "SILVERADO",
            "state": "CA",
            "postal_code": "926769744",
            "telephone_number": "714-544-9304",
            "fax_number": "714-710-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N TUSTIN AVE STE 104",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802937",
            "telephone_number": "714-544-3904",
            "fax_number": "714-710-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "GREGORY",
        "middle_name": "CLYDE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "14548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyla Andrea Basiana
• Kristal Bastedo
• Joel Bastida
• Chanel Bastou
• Erik Bastrup
• Jason Batres
• Douglas Durand Baum, DDS, MSD
• Aubrey Rose Bautista
• Huda Makram Bayaa, LMFT, LPCC
• Stephanie Bayly, LPCC

• Chiropractor in Tustin, CA
• Providers in Tustin, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.