Organization Active NPI

Espinoza Chiropractic Inc

  • Sports Physician Chiropractor
  • Berkeley, CA
National Provider Identifier
1659950954
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
ESPINOZA CHIROPRACTIC INC
Practice address
1530A 5TH St
Berkeley, CA 94710-1713
Phone
(510) 305-4772
Fax
(510) 943-5252
NPI assigned
Apr 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
Mr. Edward Espinoza IINPI 1336672450
Title
President
Phone
(510) 305-4772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NS0005X Primary

Addresses

Primary practice location

1530A 5TH St
Berkeley, CA 94710-1713

Mailing address

4061 E Castro Valley Blvd # 140
Castro Valley, CA 94552-4840
Phone (510) 305-4772

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220325001558 CA Part B Supplier - Clinic/Group Practice 3678968872 Receives reassigned benefits from 1 practitioner
Practice locations: Berkeley, CA

National Provider Directory

National Provider Directory

Locations

1530A 5th St
Berkeley, CA 94710
Phone (510) 305-4772

1172 San Pablo Ave
Ste 203
Berkeley, CA 94706
Phone (510) 305-4772

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1659950954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4061 E CASTRO VALLEY BLVD # 140",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945524840",
            "telephone_number": "510-305-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530A 5TH ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947101713",
            "telephone_number": "510-305-4772",
            "fax_number": "510-943-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESPINOZA CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "ESPINOZA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-305-4772",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.