Individual provider Active NPI

BJ Jennewein, DC

  • Chiropractor
  • Lomita, CA
National Provider Identifier
1821142696
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16429 Issued in CA
Practice address
25448 Narbonne Ave
Lomita, CA 90717-2124
Phone
(310) 326-2804
Fax
(310) 534-5166
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16429 CA Primary

Addresses

Primary practice location

25448 Narbonne Ave
Lomita, CA 90717-2124

Mailing address

25448 Narbonne Ave
Lomita, CA 90717-2124
Phone (310) 326-2804

Other names 1

  • Dr. Steve Jeff Jennewein Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050915000359 CA Practitioner - Chiropractic 9436182961 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16429CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jennewein Chiropractic, Inc. Chiropractor CurrentSince Jun 1, 2005 Accepting new patients
Beach Chiropractic Corporation Chiropractor PastSince May 1, 1998 Accepting new patients

Locations

25448 Narbonne Ave
Lomita, CA 90717
Phone (310) 326-2804

Organizations & group practices 2

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821142696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25448 NARBONNE AVE",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172124",
            "telephone_number": "310-326-2804",
            "fax_number": "310-534-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25448 NARBONNE AVE",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172124",
            "telephone_number": "310-326-2804",
            "fax_number": "310-534-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNEWEIN",
        "first_name": "BJ",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "16429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVE",
            "last_name": "JENNEWEIN",
            "middle_name": "JEFF",
            "prefix": "DR.",
            "credential": "DC, MA, MS, SBN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lomita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.