Individual provider Active NPI

Jeffrey Vance Stansberry, D.C.

  • Chiropractor
  • Rancho Mirage, CA
National Provider Identifier
1962521179
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
26148 Issued in CA
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

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 4 clinicians

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

OrganizationSpecialtyStatusNew patients
Desert Cornerstone Health Inc Chiropractor CurrentSince May 7, 2025 Accepting new patients
Go Healthcare, Inc. CurrentSince Mar 6, 2012 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.

Verify at the official NPI Registry.