100 Chiropractic Grant HB Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

100 CHIROPRACTIC GRANT HB INC

Doing business as

100 Percent Chiropractic Hermosa Beach

Practice address

1559 Pacific Coast Hwy Ste 105
Hermosa Beach, CA 90254-3214

Phone

(424) 424-7243

NPI assigned

Jul 7, 2025

Last updated

Jan 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline Grant, DC

Title

Owner

Phone

(858) 524-1091

Specialties & licenses 1

Addresses

Other names 1

• 100 Percent Chiropractic Hermosa Beach Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas Ryan Randolph, D.C

  • Chiropractor
  • Huntington Beach, CA
  • NPI 1083355143
  Medicare reassignment NPD

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1881584282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20551 N PIMA RD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852559154",
            "telephone_number": "719-217-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 PACIFIC COAST HWY STE 105",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543214",
            "telephone_number": "424-424-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 CHIROPRACTIC GRANT HB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-524-1091",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "100 Percent Chiropractic Hermosa Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 100 Chiropractic Hermosa Beach, Apc
• A Precious Elder LLC
• Regina Abayev, AMFT
• Lana Vasiljevic Abelson, MD
• Sara Marenda Aceves, DPT

• Chiropractor in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.