Jessica L. Gold, D.C., P.T.A

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC28890 Issued in CA

Practice address

733 Greenbriar Circle
Petaluma, CA 94954

Phone

(760) 213-0506

NPI assigned

Jan 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1689729758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 GREENBRIAR CIR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949543543",
            "telephone_number": "760-213-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 GREENBRIAR CIRCLE",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "94954",
            "telephone_number": "760-213-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "JESSICA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "D.C., P.T.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28890",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT5090",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glow by Ingrid LLC
• James J Glynn, MD,
• Lucia Fernanda Gocobachi Salazar
• Natalie Goddard
• Craig Goishi, PSYCHOLOGIST
• Joshua David Gold, M.A.
• Golden Line Paratransit
• Golden Living Agency LLC
• Patricia Golesic
• Megan Marie Golinveaux, DDS

• Chiropractor in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.