Eric Gross Chiropractic Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

ERIC GROSS CHIROPRACTIC INC

Doing business as

EJ Chiropractic

Practice address

6376 Del Cerro Blvd
San Diego, CA 92120-4703

Phone

(619) 582-2172

Fax

(619) 582-2207

NPI assigned

Mar 3, 2021

Organization subpart

Yes

Parent organization

EJ CHIROPRACTICAs reported in NPPES

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

Authorized official

Name

Mrs. Elaine Stangler, CMB, CCCPC

Title

Billing Manager

Phone

(619) 851-2199

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EJ Chiropractic Doing business as

Electronic endpoints 1

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.

• Eric M Gross, DC

  • Chiropractor
  • San Diego, CA
  • NPI 1457367328
  Medicare reassignment NPD

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1942895768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6376 DEL CERRO BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204703",
            "telephone_number": "619-582-2172",
            "fax_number": "619-582-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6376 DEL CERRO BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204703",
            "telephone_number": "619-582-2172",
            "fax_number": "619-582-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC GROSS CHIROPRACTIC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EJ CHIROPRACTIC",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "STANGLER",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "619-851-2199",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMB, CCCPC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1457367328",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drgross@ejchiropractic.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6376 Del Cerro Blvd",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921204703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "EJ Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Point of Service in San Diego, CA
• Providers in San Diego, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.