Organization Active NPI

Brandon W. Goldstein Chiropractic Inc.

  • Chiropractor
  • La Jolla, CA
National Provider Identifier
1891710737
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-0254420 Issued in CA
Legal business name
BRANDON W. GOLDSTEIN CHIROPRACTIC INC.
Practice address
8950 Villa la Jolla Dr
Suite B212
La Jolla, CA 92037-1714
Phone
(858) 558-3111
Fax
(858) 558-3641
NPI assigned
Jul 13, 2006
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. Brandon West Goldstein, D.C.
Title
Owner
Phone
(858) 558-3111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC-0254420 CA Primary

Addresses

Primary practice location

8950 Villa la Jolla Dr
Suite B212
La Jolla, CA 92037-1714

Mailing address

8950 Villa la Jolla Dr
Suite B212
La Jolla, CA 92037-1714
Phone (858) 558-3111

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891710737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DR",
            "address_2": "SUITE B212",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371714",
            "telephone_number": "858-558-3111",
            "fax_number": "858-558-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DR",
            "address_2": "SUITE B212",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371714",
            "telephone_number": "858-558-3111",
            "fax_number": "858-558-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON W. GOLDSTEIN CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "WEST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-558-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-0254420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.