GARY BRANDON SEVERSON (NPI# 1134577034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134577034 |
| Entity Type | Individual |
| Full Name | GARY BRANDON SEVERSON |
| Credential | D.C. |
| Practice Address |
41785 Nicole Ln Ste A7 Temecula CA 92591-3874 |
| Practice Telephone | 9512493369 |
| Practice Fax Number | 9513741607 |
| Mailing Telephone | 9512493369 |
| Mailing Fax Number | 9513741607 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2019-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 33250 | CA | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 32246 Clinton Keith Rd Ste 102, Wildomar, CA 925957320 | 9526789063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962733410 | Gary Laverne Severson | Registered Nurse | 2925 Johnson Ave Nw Trlr 50, Cedar Rapids, IA 52405-4676 | 2010-01-22 |
| Street Address |
41785 NICOLE LN STE A7 |
| City | TEMECULA |
| State | CA |
| Zip Code | 92591-3874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245690353 | Danielle Osbon | Chiropractor | 41785 Nicole Ln Ste A7, Temecula, CA 92591-3874 | 2016-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978961 | Kendall Leeanne Mattix | Behavior Technician | 26720 Ynez Court, Temecula, CA 92591 | 2019-12-02 |
| 1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
| 1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
| 1356830426 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 40780 Winchester Rd, Temecula, CA 92591 | 2018-05-04 |
| 1780196428 | Shirley K Wade | Case Manager/Care Coordinator | 40925 County Circle Drive, Temecula, CA 92591 | 2017-11-03 |
| 1639691405 | Angela Parry | Counselor | 29645 Rancho California Rd # 133c, Temecula, CA 92591 | 2017-07-12 |
| 1386166395 | Jonathan James Creech | Optometrist | 41257 Magarita Road, Suite B 103, Temecula, CA 92591 | 2017-07-11 |
| 1730600743 | Rachel Michele Brannigan | Specialist/Technologist | 39522 Seraphina Rd, Temecula, CA 92591 | 2017-06-29 |
| 1457890303 | Kala Chrisilis Earley | Specialist/Technologist | 29004 Bridgehampton Rd, Temecula, CA 92591 | 2017-02-13 |
| 1114464823 | Danielle Sasha Gonzalez | Counselor | 41002 County Circle Dr., Temecula, CA 92591 | 2017-01-20 |
| Find all providers in zip 92591 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804614 | Jennifer Habchi | Chiropractor | 27699 Jefferson Ave Ste 210, Temecula, CA 92590-2696 | 2020-08-31 |
| 1235782517 | Geoffrey Kenneth Ricchio | Chiropractor | 31093 Temecula Pkwy # D-5, Temecula, CA 92592-3087 | 2019-07-16 |
| 1245690353 | Danielle Osbon | Chiropractor | 41785 Nicole Ln Ste A7, Temecula, CA 92591-3874 | 2016-03-02 |
| 1154680015 | Nathen Alan Horst | Chiropractor | 31217 Pauba Rd Suite 204, Temecula, CA 92592 | 2012-05-14 |
| 1912274705 | Temecula Family Chiropractic Corporation | Chiropractor | 41715 Winchester Rd Ste 205, Temecula, CA 92590-4854 | 2011-11-21 |
| 1811294705 | Green Chiropractic Inc. | Chiropractor | 43950 Margarita Rd, Suite A, Temecula, CA 92592-2743 | 2011-02-11 |
| 1427386069 | Andrew Lowe | Chiropractor | 29049 Overland Dr Ste A, Temecula, CA 92591-3637 | 2009-11-19 |
| 1720256175 | Marcus Stewart Ettinger | Chiropractor | 29740 Camino Del Sol, Temecula, CA 92592-2113 | 2008-02-19 |
| 1912182502 | Bruce Shin | Chiropractor | 27349 Jefferson Ave Ste 211, Temecula, CA 92590-5632 | 2008-01-02 |
| 1952584831 | Tina M. Gottlieb Chiropractic, Apc | Chiropractor | 27393 Ynez Rd Ste 162, Temecula, CA 92591-4607 | 2007-12-13 |
| Find all providers in TEMECULA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.