Organization Active NPI

Gabay Chiropractic Inc

Doing business as Back In Shape

  • Chiropractor
  • Santa Cruz, CA
National Provider Identifier
1790882934
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC17142 Issued in CA
Legal business name
GABAY CHIROPRACTIC INC
Doing business as
Back In Shape
Practice address
3811 Portola Drive
Santa Cruz, CA 95062
Phone
(831) 475-1600
Fax
(831) 475-1122
NPI assigned
Sep 20, 2006
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
Mr. Steven Gabay, CHIROPRACTORNPI 1528236742
Title
President and Doctor
Phone
(831) 475-1600

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 DC17142 CA Primary

Addresses

Primary practice location

3811 Portola Drive
Santa Cruz, CA 95062

Mailing address

3811 Portola Drive
Santa Cruz, CA 95062
Phone (831) 475-1600

Other names 1

  • Back In Shape Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080507000376 CA Part B Supplier - Clinic/Group Practice 2062591621 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Cruz, CA

National Provider Directory

National Provider Directory

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790882934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 PORTOLA DRIVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "95062",
            "telephone_number": "831-475-1600",
            "fax_number": "831-475-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 PORTOLA DRIVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "95062",
            "telephone_number": "831-475-1600",
            "fax_number": "831-475-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABAY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GABAY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT  AND DOCTOR",
        "authorized_official_telephone_number": "831-475-1600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CHIROPRACTOR"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC17142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back In Shape",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Cruz, 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.
  • 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.