Individual provider Active NPI

Chase Ambrose, DC

  • Chiropractor
  • Long Beach, CA
National Provider Identifier
1710741582
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36881 Issued in CA
Practice address
6621 E Pacific Coast Hwy Ste 120
Long Beach, CA 90803-4244
Phone
(562) 414-5001
Fax
(562) 414-5002
NPI assigned
Feb 12, 2024
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36881 CA Primary

Addresses

Primary practice location

6621 E Pacific Coast Hwy Ste 120
Long Beach, CA 90803-4244

Mailing address

6621 E Pacific Coast Hwy Ste 120
Long Beach, CA 90803-4244
Phone (562) 414-5001

Other practice location 1

600 Pacific Coast Hwy Ste 200
Seal Beach, CA 90740-6600
Phone (562) 414-5001

Other identifiers 1

IdentifierTypeStateIssuer
1013550409OtherCAGROUP NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240525000189 CA Practitioner - Chiropractic 4082056742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impact Chiropractic, Smith Chiropractic Inc.Group PAC ID 1355774530, 2 clinicians

Practice addresses (Care Compare)

6621 E Pacific Coast Hwy
Suite 120
Long Beach, CA 90803-4244
Phone (562) 414-5001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Chiropractic, Smith Chiropractic Inc. Chiropractor CurrentSince May 14, 2024 Accepting new patients

Locations

6621 E Pacific Coast Hwy
Ste 120
Long Beach, CA 90803
Phone (562) 414-5001

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1710741582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 E PACIFIC COAST HWY STE 120",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034244",
            "telephone_number": "562-414-5001",
            "fax_number": "562-414-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 E PACIFIC COAST HWY STE 120",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034244",
            "telephone_number": "562-414-5001",
            "fax_number": "562-414-5002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Pacific Coast Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Seal Beach",
            "state": "CA",
            "postal_code": "907406600",
            "country_code": "US",
            "telephone_number": "562-414-5001",
            "fax_number": "562-414-5002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMBROSE",
        "first_name": "CHASE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-12",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1013550409",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.