Organization Active NPI

Gideon Chen Chiropractic Corp

  • Chiropractor
  • Rancho Cucamonga, CA
National Provider Identifier
1982425625
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GIDEON CHEN CHIROPRACTIC CORP
Practice address
10399 Foothill Blvd Ste 104
Rancho Cucamonga, CA 91730-6957
Phone
(909) 227-2111
NPI assigned
Oct 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Gideon Chen, DCNPI 1699542928
Title
Chiropractic
Phone
(909) 227-2111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

10399 Foothill Blvd Ste 104
Rancho Cucamonga, CA 91730-6957

Mailing address

10399 Foothill Blvd Ste 104
Rancho Cucamonga, CA 91730-6957
Phone (909) 227-2111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250625004341 CA Part B Supplier - Clinic/Group Practice 8628580461 Receives reassigned benefits from 1 practitioner
Practice locations: Walnut, CA

National Provider Directory

National Provider Directory

Locations

20709 Golden Springs Dr
Ste 104
Walnut, CA 91789
Phone (626) 333-8877

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1982425625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10399 FOOTHILL BLVD STE 104",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306957",
            "telephone_number": "909-227-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10399 FOOTHILL BLVD STE 104",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306957",
            "telephone_number": "909-227-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIDEON CHEN CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "GIDEON",
        "authorized_official_title_or_position": "CHIROPRACTIC",
        "authorized_official_telephone_number": "909-227-2111",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.