Gregory S McDonald, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC16732 Issued in CA

Practice address

23101 Lake Center Dr Ste 110
Lake Forest, CA 92630-2882

Phone

(760) 328-8212

Fax

(760) 328-8216

NPI assigned

Jul 22, 2005

Reactivated

Apr 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Jordan DC Greenlight Chiropractic Lake Forest Ca PCGroup PAC ID 3274988092, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Jordan DC Greenlight Chiropractic Lake Forest Ca PC

  • Pediatric Chiropractor
  • Lake Forest, CA
  • NPI 1063295392
  Medicare reassignment Care Compare group NPD
• Indian Wells Medical Center

  • Family Medicine Physician
  • Indian Wells, CA
  • NPI 1548288574

  Chiropractor

  NPD (past)
• Kelly Chiropractic Inc

  • Chiropractor
  • Indian Wells, CA
  • NPI 1831351998
  NPD (past)

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1922008671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23101 LAKE CENTER DR STE 110",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302882",
            "telephone_number": "949-586-2731",
            "fax_number": "949-586-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23101 LAKE CENTER DR STE 110",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302882",
            "telephone_number": "760-328-8212",
            "fax_number": "760-328-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "GREGORY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC16732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER",
            "identifier": "DC0167320",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PPIN",
            "identifier": "P00284502",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jana McCarthy, LVN
• Jayden McClaren
• Carolyn Anna McClung
• Katherine Lynne McCormick, LCSW
• Lisa May McCurry, LMFT
• Kaitlyn McDonald
• Kianna McDuffie
• Sunni Rose McElroy
• McGarrity Anesthesia Inc
• Sierra McGhie

• Chiropractor in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.