Active NPI
Jason William Bergerhouse
- Chiropractor
- Folsom, CA
National Provider Identifier
1629212287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 31156
- Practice address
- 187 Blue Ravine Rd Ste 140
Folsom, CA 95630-4504 - Phone
- (165) 871-2769
- Fax
- (916) 404-0369
- NPI assigned
- Apr 27, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 31156 | CA | Primary |
| Chiropractor | 111N00000X | DC31156 | CA |
Addresses
Primary practice location
187 Blue Ravine Rd Ste 140
Folsom, CA 95630-4504
Mailing address
PO Box 546
Cardiff, CA 92007-0546
Phone (858) 436-7600
Other names 1
- Bergerhouse Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150126002310 | CA | Practitioner - Chiropractic | 4981928728 | Practice locations: Folsom, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
187 Blue Ravine Rd
Suite 140
Folsom, CA 95630-4504
Phone (916) 587-1276
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC31156 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1629212287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 546",
"city": "CARDIFF",
"state": "CA",
"postal_code": "920070546",
"telephone_number": "858-436-7600",
"fax_number": "760-797-1845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 BLUE RAVINE RD STE 140",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956304504",
"telephone_number": "165-871-2769",
"fax_number": "916-404-0369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGERHOUSE",
"first_name": "JASON",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-27",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "31156",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC31156",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BERGERHOUSE",
"last_name": "CHIROPRACTIC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.