Greg R. Larson, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC 17734 Issued in CA

Practice address

13161 Black Mountain Rd Ste 2
San Diego, CA 92129-2685

Phone

(858) 538-8404

Fax

(858) 538-0456

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1629152319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13161 BLACK MOUNTAIN RD STE 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292685",
            "telephone_number": "858-538-8404",
            "fax_number": "858-538-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13161 BLACK MOUNTAIN RD STE 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292685",
            "telephone_number": "858-538-8404",
            "fax_number": "858-538-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "GREG",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 17734",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC 17734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Riley Larson
• Courtney Jeanne Larson
• Craig R Larson
• Derek Thomas Larson, D.O.
• Garth Larson
• Jacob Daniel Larson, PA-C
• James M. Larson, M.D.
• Janna Alfery Larson, M.D.
• Jennifer Leevonne Larson
• Jill Marie Larson, MA

• Sports Physician Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.