Active NPI
Gerald Colborne Weeks II, D.C.
- Chiropractor
- Garden Grove, CA
National Provider Identifier
1720024441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 21553
- Practice address
- 12511 Brookhurst St
Garden Grove, CA 92840-4806 - Phone
- (714) 741-0330
- Fax
- (714) 741-0325
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 21553 | CA | Primary |
Addresses
Primary practice location
12511 Brookhurst St
Garden Grove, CA 92840-4806
Mailing address
28009 Camino del Rio
San Juan Capistrano, CA 92675-5375
Phone (949) 661-8116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21553 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720024441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28009 CAMINO DEL RIO",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926755375",
"telephone_number": "949-661-8116",
"fax_number": "714-741-0325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12511 BROOKHURST ST",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928404806",
"telephone_number": "714-741-0330",
"fax_number": "714-741-0325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEEKS",
"first_name": "GERALD",
"middle_name": "COLBORNE",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "21553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.