Organization Active NPI

Renbarger Chiropractic,Inc.

  • Orthopedic Chiropractor
  • Los Gatos, CA
National Provider Identifier
1760800288
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
12805 Issued in CA
Legal business name
RENBARGER CHIROPRACTIC,INC.
Practice address
751 Blossom Hill Rd Ste A2
Los Gatos, CA 95032-3583
Phone
(408) 358-2689
Fax
(408) 356-1084
NPI assigned
Apr 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
David Grayson Renbarger, D.C.NPI 1982635884
Title
President
Phone
(408) 358-2689

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
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X 12805 CA Primary

Addresses

Primary practice location

751 Blossom Hill Rd Ste A2
Los Gatos, CA 95032-3583

Mailing address

751 Blossom Hill Rd Ste A2
Los Gatos, CA 95032-3583
Phone (408) 358-2689

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140708000436 CA Part B Supplier - Clinic/Group Practice 7416172408 Receives reassigned benefits from 1 practitioner
Practice locations: Los Gatos, CA

National Provider Directory

National Provider Directory

Locations

751 Blossom Hill Rd
Ste A2
Los Gatos, CA 95032
Phone (408) 358-2389

16190 Los Gatos Blvd
#102
Los Gatos, CA 95032

751 Blossom Hill Rd
Ste A1
Los Gatos, CA 95032
Phone (408) 358-2689

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1760800288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 BLOSSOM HILL RD STE A2",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323583",
            "telephone_number": "408-358-2689",
            "fax_number": "408-356-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 BLOSSOM HILL RD STE A2",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323583",
            "telephone_number": "408-358-2689",
            "fax_number": "408-356-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENBARGER CHIROPRACTIC,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "RENBARGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GRAYSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-358-2689",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "12805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.