Individual provider Active NPI

Jacob McGee, DC

  • Chiropractor
  • Rancho Palos Verdes, CA
National Provider Identifier
1780148981
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36489 Issued in CA
Practice address
28901 S Western Ave Ste 225
Rancho Palos Verdes, CA 90275-0824
Phone
(715) 797-3099
NPI assigned
Jan 22, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 36489 CA Primary

Addresses

Primary practice location

28901 S Western Ave Ste 225
Rancho Palos Verdes, CA 90275-0824

Mailing address

523 1/2 Avenue C
Redondo Beach, CA 90277-4837
Phone (715) 797-3099

Other practice location 1

17787 Kenwood Trl
Lakeville, MN 55044-9493
Phone (952) 435-3345

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231221002207 CA Practitioner - Chiropractic 4981945540 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36489CAMDLicensed Psychiatric Technician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1780148981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 1/2 AVENUE C",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902774837",
            "telephone_number": "715-797-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28901 S WESTERN AVE STE 225",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750824",
            "telephone_number": "715-797-3099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17787 Kenwood Trl",
            "address_purpose": "LOCATION",
            "city": "Lakeville",
            "state": "MN",
            "postal_code": "550449493",
            "country_code": "US",
            "telephone_number": "952-435-3345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGEE",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-22",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.