Active NPI
James Douglas Gustin, D.C.
- Chiropractor
- Glendora, CA
National Provider Identifier
1720157241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 18430
- Practice address
- 359 W Route 66
Glendora, CA 91740-4307 - Phone
- (626) 914-7662
- Fax
- (626) 914-0332
- NPI assigned
- Nov 7, 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 | 18430 | CA | Primary |
Addresses
Primary practice location
359 W Route 66
Glendora, CA 91740-4307
Mailing address
1032 N Glendora Ave
Glendora, CA 91741-2058
Phone (626) 963-3903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081010000460 | CA | Practitioner - Chiropractic | 9335217827 | Practice locations: Glendora, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
359 W Route 66
Glendora, CA 91740-4307
Phone (626) 914-7662
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James Gustin, Doctor of Chiropractic, Inc. | Chiropractor | Current | Accepting new patients |
Locations
359 W Route 66
Glendora, CA 91740
Phone (626) 914-7662
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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 and National Provider Directory roles.
-
- Chiropractor
- Glendora, CA
- NPI 1508576257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720157241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 N GLENDORA AVE",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917412058",
"telephone_number": "626-963-3903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "359 W ROUTE 66",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917404307",
"telephone_number": "626-914-7662",
"fax_number": "626-914-0332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUSTIN",
"first_name": "JAMES",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "18430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendora, 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.
- 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.