Individual provider Active NPI

Jason William Bergerhouse

  • Chiropractor
  • Folsom, CA
National Provider Identifier
1629212287
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31156 Issued in CA
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

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
DC31156CAMDChiropractor

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.

Verify at the official NPI Registry.