Organization Active NPI

Grenda Chiropractic, Inc.

  • Rehabilitation Chiropractor
  • Torrance, CA
National Provider Identifier
1871635680
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC23471 Issued in CA
Legal business name
GRENDA CHIROPRACTIC, INC.
Practice address
3640 Lomita Blvd
Suite 306
Torrance, CA 90505-3927
Phone
(310) 373-8595
Fax
(310) 373-5356
NPI assigned
Feb 12, 2007
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
Dr. Eric J. Grenda, D.C.NPI 1639115736
Title
Owner
Phone
(310) 373-8595

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
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X DC23471 CA Primary

Addresses

Primary practice location

3640 Lomita Blvd
Suite 306
Torrance, CA 90505-3927

Mailing address

26957 Bolan LN
Palos Verdes Peninsula, CA 90274-4001
Phone (310) 377-5263

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070710000794 CA Part B Supplier - Clinic/Group Practice 6204936974 Receives reassigned benefits from 1 practitioner
Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

Locations

1628 Cravens Ave
Torrance, CA 90501
Phone (310) 787-8104

Practitioners & affiliated clinicians

Practitioners 3

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871635680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26957 BOLAN LN",
            "city": "PALOS VERDES PENINSULA",
            "state": "CA",
            "postal_code": "902744001",
            "telephone_number": "310-377-5263",
            "fax_number": "310-373-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 LOMITA BLVD",
            "address_2": "SUITE 306",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053927",
            "telephone_number": "310-373-8595",
            "fax_number": "310-373-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRENDA CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRENDA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-373-8595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC23471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, 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.