Active NPI
Gary K. Iwamoto, D.C.
- Chiropractor
- Santa Monica, CA
National Provider Identifier
1952529208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 17715
- Practice address
- 2901 Ocean Park Blvd Ste 207
Santa Monica, CA 90405-2964 - Phone
- (424) 229-1144
- Fax
- (310) 396-6736
- NPI assigned
- Apr 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 17715 | CA | Primary |
Addresses
Primary practice location
2901 Ocean Park Blvd Ste 207
Santa Monica, CA 90405-2964
Mailing address
2901 Ocean Park Blvd Ste 207
Santa Monica, CA 90405-2964
Phone (424) 229-1144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120313000018 | CA | Practitioner - Chiropractic | 6103085063 | Practice locations: Santa Monica, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1448 15TH St
Santa Monica, CA 90404-2756
Phone (310) 395-3111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1952529208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 OCEAN PARK BLVD STE 207",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904052964",
"telephone_number": "424-229-1144",
"fax_number": "310-396-6736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 OCEAN PARK BLVD STE 207",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904052964",
"telephone_number": "424-229-1144",
"fax_number": "310-396-6736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IWAMOTO",
"first_name": "GARY",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "17715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.