Active NPI
Paul Gasper, D. C.
- Chiropractor
- Agoura Hills, CA
National Provider Identifier
1679740856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC20593
- Practice address
- 29229 Canwood St
Suite 205
Agoura Hills, CA 91301-1561 - Phone
- (310) 649-5894
- NPI assigned
- May 15, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC20593 | CA | Primary |
Addresses
Primary practice location
29229 Canwood St
Suite 205
Agoura Hills, CA 91301-1561
Mailing address
1809 E Dyer Rd
Suite 311
Santa Ana, CA 92705-5740
Phone (949) 863-0022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC20593 | Other | CA | LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC20593 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1679740856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 E DYER RD",
"address_2": "SUITE 311",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927055740",
"telephone_number": "949-863-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29229 CANWOOD ST",
"address_2": "SUITE 205",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913011561",
"telephone_number": "310-649-5894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASPER",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D. C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-15",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC20593",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "DC20593",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Agoura Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.