Organization Active NPI

Joga Chiropractic Center, Inc

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1699029843
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC20733 Issued in CA
Legal business name
JOGA CHIROPRACTIC CENTER, INC
Practice address
13101 W Washington Blvd Ste 114
Los Angeles, CA 90066-5176
Phone
(310) 433-3657
Fax
(310) 828-3532
NPI assigned
Nov 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Dr. Viktorija A Joga, D.C.NPI 1548360555
Title
Owner
Phone
(310) 433-3657

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC20733 CA Primary

Addresses

Primary practice location

13101 W Washington Blvd Ste 114
Los Angeles, CA 90066-5176

Mailing address

510 S Gertruda Ave
Redondo Beach, CA 90277-4243
Phone (104) 333-6573

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181229000160 CA Part B Supplier - Clinic/Group Practice 3971848516 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

13101 W Washington Blvd
Ste 114
Los Angeles, CA 90066
Phone (310) 433-3657

13101 W Washington Blvd
Ste 115
Los Angeles, CA 90066

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1699029843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S GERTRUDA AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902774243",
            "telephone_number": "104-333-6573",
            "fax_number": "310-828-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 W WASHINGTON BLVD STE 114",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665176",
            "telephone_number": "310-433-3657",
            "fax_number": "310-828-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOGA CHIROPRACTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "JOGA",
        "authorized_official_first_name": "VIKTORIJA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-433-3657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC20733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.