Active NPI
George R Lebeau, D.C.
- Chiropractor
- Vista, CA
National Provider Identifier
1770680662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC10902
- Practice address
- 1365 W Vista Way Ste 100
Vista, CA 92083-6272 - Phone
- (760) 726-9660
- Fax
- (760) 726-8865
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC10902 | CA | Primary |
Addresses
Primary practice location
1365 W Vista Way Ste 100
Vista, CA 92083-6272
Mailing address
2737 Monroe St
Carlsbad, CA 92008-1551
Phone (760) 726-9669
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC10902 | CA | MD | Chiropractor |
| 10902 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770680662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2737 MONROE ST",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081551",
"telephone_number": "760-726-9669",
"fax_number": "760-726-8865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365 W VISTA WAY STE 100",
"city": "VISTA",
"state": "CA",
"postal_code": "920836272",
"telephone_number": "760-726-9660",
"fax_number": "760-726-8865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBEAU",
"first_name": "GEORGE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC10902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.