Active NPI
Jeffrey Vance Stansberry, D.C.
- Chiropractor
- Rancho Mirage, CA
National Provider Identifier
1962521179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 26148
- Practice address
- 42500 Bob Hope Dr
Suite B
Rancho Mirage, CA 92270-4471 - Phone
- (760) 346-4698
- Fax
- (760) 346-5784
- NPI assigned
- Mar 28, 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 | 26148 | CA | Primary |
Addresses
Primary practice location
42500 Bob Hope Dr
Suite B
Rancho Mirage, CA 92270-4471
Mailing address
42500 Bob Hope Dr
Suite B
Rancho Mirage, CA 92270-4471
Phone (760) 346-4698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101006000398 | CA | Practitioner - Chiropractic | 5193917367 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Go Healthcare Inc
Practice addresses (Care Compare)
72880 Fred Waring Dr
Suite D18
Palm Desert, CA 92260-9377
Phone (760) 346-4698
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Cornerstone Health Inc | Chiropractor | Current | Accepting new patients |
| Go Healthcare, Inc. | Current | Accepting new patients |
Locations
72880 Fred Waring Dr
Ste D18
Palm Desert, CA 92260
Phone (760) 346-4698
555 S Sunrise Way
Ste 210
Palm Springs, CA 92264
Phone (760) 323-7600
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1962521179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42500 BOB HOPE DR",
"address_2": "SUITE B",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922704471",
"telephone_number": "760-346-4698",
"fax_number": "760-346-5784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42500 BOB HOPE DR",
"address_2": "SUITE B",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922704471",
"telephone_number": "760-346-4698",
"fax_number": "760-346-5784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANSBERRY",
"first_name": "JEFFREY",
"middle_name": "VANCE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "26148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.