Individual provider Active NPI

Jayson Kyle Fields Jr.

  • Chiropractor
  • Long Beach, CA
National Provider Identifier
1750196903
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC37210 Issued in CA
Practice address
6324 E Pacific Coast Hwy Ste C
Long Beach, CA 90803-4841
Phone
(562) 493-5600
NPI assigned
Feb 12, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC37210 CA Primary

Addresses

Primary practice location

6324 E Pacific Coast Hwy Ste C
Long Beach, CA 90803-4841

Mailing address

6324 E Pacific Coast Hwy Ste C
Long Beach, CA 90803-4841
Phone (562) 493-5600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250221002353 CA Practitioner - Chiropractic 4880114768 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC37210CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bloch Chiropractic Wellness and Sports Medicine PC Chiropractor CurrentSince Feb 14, 2025 Accepting new patients

Locations

6324 E Pacific Coast Hwy
Ste C
Long Beach, CA 90803
Phone (562) 493-5600

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.

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1750196903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6324 E PACIFIC COAST HWY STE C",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034841",
            "telephone_number": "562-493-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6324 E PACIFIC COAST HWY STE C",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034841",
            "telephone_number": "562-493-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "JAYSON",
        "middle_name": "KYLE",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC37210",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 12, 2025; 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.