Gregory M. Berkoff D.C., Inc., Doctor of Chiropractic, a Prof Corp.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

19710 Issued in CA

Legal business name

GREGORY M. BERKOFF D.C., INC., DOCTOR OF CHIROPRACTIC, A PROF CORP.

Practice address

8950 Villa la Jolla Dr Ste C129
La Jolla, CA 92037-1707

Phone

(858) 622-9459

Fax

(858) 622-9458

NPI assigned

May 20, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Tricia M. Berkoff, D.C.

Title

Doctor of Chiropractic

Phone

(858) 999-5153

Specialties & licenses 1

Addresses

Other names 2

• Dr. Gregory M. Berkoff, D.C. Doing business as
• Gregory M. Berkoff, D.C. Inc Former legal business name

Locations

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1871972083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 EXECUTIVE DR",
            "address_2": "SUITE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213018",
            "telephone_number": "858-622-9459",
            "fax_number": "858-622-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DR STE C129",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371707",
            "telephone_number": "858-622-9459",
            "fax_number": "858-622-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY M. BERKOFF D.C., INC., DOCTOR OF CHIROPRACTIC, A PROF CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "BERKOFF",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "858-999-5153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "19710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Gregory M. Berkoff, D.C.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gregory M. Berkoff, D.C. Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Cecelia Rose Greene/Pendzich, CERTIFIED PERMANENT
• Sheryl L Greenly
• Hubert T. Greenway, M.D.
• Greg Mattson MD Inc
• Diana M Greg, PH D
• Karen Scrivner Greiner, MD, MPH
• Grey Cunningham, D.D.S., Apc
• Elizabeth Marie Griffin, RN, CNM
• Jonna Lynn Griggs, PA-C
• Martin Griglak, MD

• Chiropractor in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.