Pelofsky Sports Chiropractic

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

PELOFSKY SPORTS CHIROPRACTIC

Practice address

700 Wilshire Blvd Ste 510
Los Angeles, CA 90017-3863

Phone

(310) 383-7360

Fax

(213) 415-1940

NPI assigned

Mar 12, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Derek Pelofsky, DCNPI 1922248285

Title

President

Phone

(310) 383-7360

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derek Scott Pelofsky, D.C., C.C.S.P

  • Chiropractor
  • Charlotte, NC
  • NPI 1922248285

  Sports Physician

  NPD Authorized official

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1952869661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WILSHIRE BLVD STE 510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173863",
            "telephone_number": "310-383-7360",
            "fax_number": "213-415-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WILSHIRE BLVD STE 510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173863",
            "telephone_number": "310-383-7360",
            "fax_number": "213-415-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELOFSKY SPORTS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "PELOFSKY",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-383-7360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drderek@citywellnessdtla.com",
            "affiliation": "N",
            "address_1": "700 Wilshire Blvd Ste 510",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900173863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aaron Anthony Pellicciotti, PHARMD
• Andrew Pelman
• Matthew Pelman
• Adam Scott Pelner
• Nica Sabouni Pelnik, MD
• John Peloian, PSYD
• Michalyn Dawn Pelphrey, NP
• Adrianne Pelt
• Jacob B Pelta, MD
• Jean-Claire Peltier

• Sports Physician Chiropractor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.