Individual provider Active NPI

Guy M. Bostock, D.C.

  • Chiropractor
  • Gilroy, CA
National Provider Identifier
1629093315
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0226010 Issued in CA
Practice address
7881 Church St
A
Gilroy, CA 95020-5141
Phone
(408) 847-7246
Fax
(408) 847-5577
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0226010 CA Primary

Addresses

Primary practice location

7881 Church St
A
Gilroy, CA 95020-5141

Mailing address

7881 Church St
A
Gilroy, CA 95020-5141
Phone (408) 847-7246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091217000679 CA Practitioner - Chiropractic 4789724022 Practice locations: Gilroy, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22601CAMDClinical Social Worker
DC0226010CAMDChiropractor

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": "1241740800000",
    "number": "1629093315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7881 CHURCH ST",
            "address_2": "A",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950205141",
            "telephone_number": "408-847-7246",
            "fax_number": "408-847-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7881 CHURCH ST",
            "address_2": "A",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950205141",
            "telephone_number": "408-847-7246",
            "fax_number": "408-847-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTOCK",
        "first_name": "GUY",
        "middle_name": "M.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0226010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.