Active NPI
Gregory James Kaufman, D.C.
- Chiropractor
- Benicia, CA
National Provider Identifier
1700974680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC19864
- Practice address
- 1100 Rose Dr Ste 230
Benicia, CA 94510-3618 - Phone
- (707) 745-5566
- Fax
- (707) 745-5276
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | DC19864 | CA | Primary |
Addresses
Primary practice location
1100 Rose Dr Ste 230
Benicia, CA 94510-3618
Mailing address
1100 Rose Dr Ste 230
Benicia, CA 94510-3618
Phone (707) 745-5566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110526000534 | CA | Practitioner - Chiropractic | 6709063811 | Practice locations: Benicia, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19864 | CA | MD | Professional Counselor |
| DC19864 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1700974680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 ROSE DR STE 230",
"city": "BENICIA",
"state": "CA",
"postal_code": "945103618",
"telephone_number": "707-745-5566",
"fax_number": "707-745-5276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 ROSE DR STE 230",
"city": "BENICIA",
"state": "CA",
"postal_code": "945103618",
"telephone_number": "707-745-5566",
"fax_number": "707-745-5276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMAN",
"first_name": "GREGORY",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC19864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benicia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.