Organization Active NPI

Back to Health

  • Sports Physician Chiropractor
  • Lawndale, CA
National Provider Identifier
1760508071
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC23737 Issued in CA
Legal business name
BACK TO HEALTH
Practice address
4451 Redondo Beach Blvd
Suite B
Lawndale, CA 90260-3716
Phone
(310) 371-3134
Fax
(310) 371-6634
NPI assigned
Mar 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brad B Barez, D.C.NPI 1780707182
Title
Ceo
Phone
(310) 371-3134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X DC23737 CA Primary

Addresses

Primary practice location

4451 Redondo Beach Blvd
Suite B
Lawndale, CA 90260-3716

Mailing address

4451 Redondo Beach Blvd
Suite B
Lawndale, CA 90260-3716
Phone (310) 371-3134

National Provider Directory

National Provider Directory
Tax ID family
Back to Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4451 Redondo Beach Blvd
#B
Lawndale, CA 90260
Phone (310) 371-3134

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760508071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 REDONDO BEACH BLVD",
            "address_2": "SUITE B",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902603716",
            "telephone_number": "310-371-3134",
            "fax_number": "310-371-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 REDONDO BEACH BLVD",
            "address_2": "SUITE B",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902603716",
            "telephone_number": "310-371-3134",
            "fax_number": "310-371-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAREZ",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-371-3134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC23737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawndale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.