Organization Active NPI

Sundstrom Chiropractic Clinic Inc

  • Chiropractor
  • Elk Grove, CA
National Provider Identifier
1841009065
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SUNDSTROM CHIROPRACTIC CLINIC INC
Practice address
9295 E Stockton Blvd Ste 10
Elk Grove, CA 95624-4096
Phone
(916) 685-6380
NPI assigned
Jan 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Chad Sundstrom, DC
Title
Owner
Phone
(916) 685-6380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

9295 E Stockton Blvd Ste 10
Elk Grove, CA 95624-4096

Mailing address

9295 E Stockton Blvd Ste 10
Elk Grove, CA 95624-4096
Phone (916) 685-6380

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250221002280 CA Part B Supplier - Clinic/Group Practice 0345760229 Receives reassigned benefits from 1 practitioner
Practice locations: Elk Grove, CA

National Provider Directory

National Provider Directory

Locations

9295 E Stockton Blvd
Ste 10
Elk Grove, CA 95624
Phone (916) 685-6380

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1841009065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9295 E STOCKTON BLVD STE 10",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244096",
            "telephone_number": "916-685-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9295 E STOCKTON BLVD STE 10",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244096",
            "telephone_number": "916-685-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDSTROM CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "SUNDSTROM",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-685-6380",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.