Individual provider Active NPI

Brian Peck, DC

  • Chiropractor
  • Santa Monica, CA
National Provider Identifier
1720622830
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33595 Issued in CA
Practice address
2428 Santa Monica Blvd Ste 308
Santa Monica, CA 90404-2046
Phone
(310) 453-8393
NPI assigned
Oct 31, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33595 CA Primary

Addresses

Primary practice location

2428 Santa Monica Blvd Ste 308
Santa Monica, CA 90404-2046

Mailing address

8500 Falmouth Ave Unit 3106
Playa del Rey, CA 90293-8760
Phone (310) 595-6986

Other practice location 1

3030 Sawtelle Blvd
Los Angeles, CA 90066-1408
Phone (714) 457-7278

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

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1720622830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 FALMOUTH AVE UNIT 3106",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902938760",
            "telephone_number": "310-595-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 SANTA MONICA BLVD STE 308",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042046",
            "telephone_number": "310-453-8393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 Sawtelle Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900661408",
            "country_code": "US",
            "telephone_number": "714-457-7278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECK",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.