Individual provider Active NPI

Cole Girard Carson

  • Chiropractor
  • Porterville, CA
National Provider Identifier
1952139933
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC37028 Issued in CA
Practice address
83 N Main St
Porterville, CA 93257-3711
Phone
(559) 781-3033
NPI assigned
Jul 23, 2024
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC37028 CA Primary

Addresses

Primary practice location

83 N Main St
Porterville, CA 93257-3711

Mailing address

23321 Zackery CT
Porterville, CA 93257-9571
Phone (661) 487-9523

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240927002655 CA Practitioner - Chiropractic 4880125061 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Goodlife Physical Medicine CorpGroup PAC ID 0446542922, 11 clinicians
Missakian, Inc.Group PAC ID 4082887914, 3 clinicians

Practice addresses (Care Compare)

2218 E Maple Ave
El Segundo, CA 90245-6507
Phone (310) 543-7779

83 N Main St
Porterville, CA 93257-3711
Phone (559) 781-3033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Missakian Chiropractic, Inc. Chiropractor CurrentSince Jul 11, 2024 Accepting new patients
Goodlife Physical Medicine Corp CurrentSince Sep 7, 2025 Accepting new patients
Goodlife Physical Medicine Corp CurrentSince Sep 7, 2025 Accepting new patients

Locations

2218 E Maple Ave
El Segundo, CA 90245
Phone (310) 543-7779

83 N Main St
Porterville, CA 93257
Phone (559) 781-3033

1300 S Pacific Coast Hwy
Ste 201
Redondo Beach, CA 90277
Phone (310) 543-7779

2365 Seal Beach Blvd
Ste 101
Seal Beach, CA 90740
Phone (310) 543-7779

Interoperability endpoints

  • Direct secure messaging: cole.carson.1@22164.direct.athenahealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1952139933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23321 ZACKERY CT",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932579571",
            "telephone_number": "661-487-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 N MAIN ST",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573711",
            "telephone_number": "559-781-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "COLE",
        "middle_name": "GIRARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC37028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.