OSTATNIGROSH WILLIAMS CHIROPRACTIC PROFESSIONAL CORPORATION
NPI 1104685353
Chiropractor - Sports Physician in Nipomo, CA

Q: What is Ostatnigrosh Williams Chiropractic Professional Corporation's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Active since March 18, 2024

487 S OAK GLEN AVE, NIPOMO, CA 93444(559) 801-7393 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Ostatnigrosh Williams Chiropractic Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OSTATNIGROSH WILLIAMS CHIROPRACTIC PROFESSIONAL CORPORATION (NPI 1104685353) is a healthcare organization registered as a sports physician in Nipomo, California and active in the NPI registry since March 2024. The organization lists Olga Williams, Owner, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1104685353

Entity TypeOrganization

Primary Taxonomy111NS0005X

Legal Business NameOSTATNIGROSH WILLIAMS CHIROPRACTIC PROFESSIONAL CORPORATION

Location Address487 S OAK GLEN AVENipomo, CA 93444-9010

Mailing Address487 S Oak Glen AveNipomo, CA 93444-9010

Phone(559) 801-7393

Organization SubpartNo

Authorized OfficialOlga WilliamsOwner, Chiropractor · (559) 801-7393

Enumeration DateMarch 18, 2024

NPPES CertifiedMarch 18, 2024

✔ NPI 1104685353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

487 S OAK GLEN AVE, Nipomo, CA 93444

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ostatnigrosh Williams Chiropractic Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ostatnigrosh Williams Chiropractic Professional Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Olga Williams, DC

Chiropractic

NPI 1083324362

487 S OAK GLEN AVE
Nipomo, CA 93444

(559) 801-7393

✔ PECOS✔ Accepts MedicareSame address

Andrey Ostatnigrosh, DC

Chiropractic

NPI 1447074448

5717 N 1ST ST
Fresno, CA 93710

(559) 246-0090

✔ Accepts Medicare130 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ostatnigrosh Williams Chiropractic Professional Corporation's NPI number?

The NPI number for Ostatnigrosh Williams Chiropractic Professional Corporation is 1104685353. It was assigned to this organization in the NPPES registry on March 18, 2024.

Where is Ostatnigrosh Williams Chiropractic Professional Corporation located?

Ostatnigrosh Williams Chiropractic Professional Corporation is located at 487 S Oak Glen Ave, Nipomo, CA 93444. The listed phone number is (559) 801-7393.

What is Ostatnigrosh Williams Chiropractic Professional Corporation's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Ostatnigrosh Williams Chiropractic Professional Corporation enrolled in Medicare?

Yes. Ostatnigrosh Williams Chiropractic Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ostatnigrosh Williams Chiropractic Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Ostatnigrosh Williams Chiropractic Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ostatnigrosh Williams Chiropractic Professional Corporation was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.