Organization Active NPI

Matthew Gloin Chiropractic Corporation

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1770852261
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28667 Issued in CA
Legal business name
MATTHEW GLOIN CHIROPRACTIC CORPORATION
Practice address
5553 W Pico Blvd
Los Angeles, CA 90019-3919
Phone
(323) 930-9355
Fax
(323) 930-9375
NPI assigned
Dec 29, 2011
Last updated
Dec 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Dr. Matthew BT Gloin, D.C.NPI 1891722617
Title
Owner
Phone
(323) 930-9355

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
Chiropractor 111N00000X DC28667 CA Primary

Addresses

Primary practice location

5553 W Pico Blvd
Los Angeles, CA 90019-3919

Mailing address

5553 W Pico Blvd
Los Angeles, CA 90019-3919
Phone (323) 930-9355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120306000828 CA Part B Supplier - Clinic/Group Practice 7113186446 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

5553 W Pico Blvd
Los Angeles, CA 90019
Phone (310) 448-3499

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": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1770852261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5553 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193919",
            "telephone_number": "323-930-9355",
            "fax_number": "323-930-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5553 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193919",
            "telephone_number": "323-930-9355",
            "fax_number": "323-930-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW GLOIN CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "GLOIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "BT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-930-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.