Jordan Grissette, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC36796 Issued in CA

Practice address

1232 N Park Ave
Pomona, CA 91768-3029

Phone

(909) 623-9621

NPI assigned

Nov 9, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Rafael a. Rios Chiropractic Corporation

  • Chiropractor
  • Pomona, CA
  • NPI 1598464695
  NPD
• Rios and Miles Chiropractic Incorporated

  • Rehabilitation Chiropractor
  • Rancho Cucamonga, CA
  • NPI 1154828572
  NPD (past)

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1932973047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11755 MALAGA DR UNIT 1301",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308136",
            "telephone_number": "702-600-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 N PARK AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683029",
            "telephone_number": "909-623-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISSETTE",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Greening, SUDRC
• Alyssa Lyn Gregorec, PA
• Pionnah Gregorio
• Emily Gresner
• Wendy Renee Grijalva
• Helene Grosflam, PHARMD
• Anika Grover
• Alan Grubstein, DC
• Kurtis Arthur Gruoner, M.A LPCC 18765
• Joann Guan

• Chiropractor in Pomona, CA
• Providers in Pomona, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.