NPIMap

Organization Active NPI

Ito Chiropractic Corporation

  • Chiropractor
  • Ventura, CA
National Provider Identifier
1932652054
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30009 Issued in CA
Legal business name
ITO CHIROPRACTIC CORPORATION
Practice address
5700 Ralston St
Ste. 110
Ventura, CA 93003-6050
Phone
(805) 653-6008
Fax
(805) 644-6008
NPI assigned
Jul 25, 2016
Last updated
Jul 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Authorized official

Name
Dr. Brian Takeshi Ito, D.C.NPI 1104876275
Title
President
Phone
(805) 653-6008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC30009 CA Primary

Addresses

Primary practice location

5700 Ralston St
Ste. 110
Ventura, CA 93003-6050

Mailing address

5700 Ralston St
Ste. 110
Ventura, CA 93003-6050
Phone (805) 653-6008

Other names 1

  • Dr. Brian Ito, D.C. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170307000255 CA Part B Supplier - Clinic/Group Practice 0547544777 Receives reassigned benefits from 1 practitioner
Practice locations: Ventura, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1932652054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 RALSTON ST",
            "address_2": "STE. 110",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036050",
            "telephone_number": "805-653-6008",
            "fax_number": "805-644-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 RALSTON ST",
            "address_2": "STE. 110",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036050",
            "telephone_number": "805-653-6008",
            "fax_number": "805-644-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITO CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "ITO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "TAKESHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-653-6008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Brian Ito, D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.