Individual provider Active NPI

Jason Graney, DC

  • Chiropractor
  • La Mesa, CA
National Provider Identifier
1639252844
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25444 Issued in CA
Practice address
4690 Nebo Dr
La Mesa, CA 91941-5233
Phone
(619) 460-2224
Fax
(619) 460-2226
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25444 CA Primary

Addresses

Primary practice location

4690 Nebo Dr
La Mesa, CA 91941-5233

Mailing address

4690 Nebo Dr
La Mesa, CA 91941-5233
Phone (619) 460-2224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC25444CAMDChiropractor
25444CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Acru Health Chiropractor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1639252844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 NEBO DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919415233",
            "telephone_number": "619-460-2224",
            "fax_number": "619-460-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 NEBO DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919415233",
            "telephone_number": "619-460-2224",
            "fax_number": "619-460-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANEY",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.