Organization Active NPI

Gregory a Celaya Chiropractic Corporation

  • Chiropractor
  • Thousand Oaks, CA
National Provider Identifier
1710209317
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC17612 Issued in CA
Legal business name
GREGORY A CELAYA CHIROPRACTIC CORPORATION
Practice address
1325 E Thousand Oaks Blvd
#104
Thousand Oaks, CA 91362-2822
Phone
(805) 371-6144
NPI assigned
Feb 23, 2010
Last updated
Jun 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Authorized official

Name
Dr. Greg A Celaya, D.C.
Title
President
Phone
(805) 371-6144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC17612 CA Primary

Addresses

Primary practice location

1325 E Thousand Oaks Blvd
#104
Thousand Oaks, CA 91362-2822

Mailing address

1325 E Thousand Oaks Blvd
#104
Thousand Oaks, CA 91362-2822
Phone (805) 371-6144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100615000209 CA Part B Supplier - Clinic/Group Practice 2769512946 Receives reassigned benefits from 2 practitioners
Practice locations: Thousand Oaks, CA

National Provider Directory

National Provider Directory

Locations

1325 E Thousand Oaks Blvd
Ste 104
Thousand Oaks, CA 91362
Phone (805) 279-9656

Practitioners & affiliated clinicians

Practitioners 2

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": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1710209317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E THOUSAND OAKS BLVD",
            "address_2": "#104",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622822",
            "telephone_number": "805-371-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E THOUSAND OAKS BLVD",
            "address_2": "#104",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622822",
            "telephone_number": "805-371-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY A CELAYA CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "CELAYA",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-371-6144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC17612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.