Active NPI
Jason Alan Shumard, D.C.
- Rehabilitation Chiropractor
- San Diego, CA
National Provider Identifier
1750590659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- DC29400
- Practice address
- 7094 Miramar Rd Ste 109
San Diego, CA 92121-2311 - Phone
- (858) 564-7081
- NPI assigned
- May 21, 2007
- 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | DC29400 | CA | Primary |
Addresses
Primary practice location
7094 Miramar Rd Ste 109
San Diego, CA 92121-2311
Mailing address
7094 Miramar Rd Ste 109
San Diego, CA 92121-2311
Phone (858) 564-7081
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 |
|---|---|---|---|
| DC29400 | CA | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1750590659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7094 MIRAMAR RD STE 109",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921212311",
"telephone_number": "858-564-7081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7094 MIRAMAR RD STE 109",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921212311",
"telephone_number": "858-564-7081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUMARD",
"first_name": "JASON",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "DC29400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.