Jodie Gibson Chiropractic Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JODIE GIBSON CHIROPRACTIC CORPORATION

Doing business as

West LA Spine and Rehab

Practice address

10780 Santa Monica Blvd Ste 200
Los Angeles, CA 90025-7614

Phone

(870) 273-5520

NPI assigned

Feb 17, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Jodie Gibson, DCNPI 1477128080

Title

Ceo

Phone

(870) 273-5520

Specialties & licenses 3

Addresses

Other names 1

• West LA Spine and Rehab Doing business as

Locations

Practitioners 1

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

• Jodie Gibson, DC

  • Chiropractor
  • Hayward, CA
  • NPI 1477128080
  NPD Authorized official

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1881499507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HORIZON AVE APT B",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913646",
            "telephone_number": "870-273-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10780 SANTA MONICA BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257614",
            "telephone_number": "870-273-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODIE GIBSON CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "JODIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-273-5520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West LA Spine and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.