WILSON C PARK CHIROPRACTIC CORP
NPI 1427210822
Chiropractor in Los Angeles, CA

Active since June 26, 2008
2940 WESTWOOD BLVD, #1, LOS ANGELES, CA 90064(310) 869-0536(310) 441-3727 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wilson C Park Chiropractic Corp NPPES

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

WILSON C PARK CHIROPRACTIC CORP (NPI 1427210822) is a healthcare organization registered as a chiropractor in Los Angeles, California and active in the NPI registry since June 2008. The organization lists Wilson Park, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1427210822
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWILSON C PARK CHIROPRACTIC CORP
Location Address2940 WESTWOOD BLVD, #1Los Angeles, CA 90064-4145
Mailing Address2940 Westwood Blvd, #1Los Angeles, CA 90064 · (310) 869-0536 · Fax (310) 441-3727
Fax(310) 441-3727
Organization SubpartNo
Authorized OfficialWilson ParkChiropractor · (310) 869-0536
Enumeration DateJune 26, 2008
✔ NPI 1427210822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC25166
Definition
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.
2940 WESTWOOD BLVD, Los Angeles, CA 90064

Other Identifiers 1

OtherDC251660CA · Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Wilson C Park Chiropractic Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wilson C Park Chiropractic Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1548337587
2940 WESTWOOD BLVD SUITE #1
Los Angeles, CA 90064
(310) 869-0536
Same address

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 Wilson C Park Chiropractic Corp's NPI number?

The NPI number for Wilson C Park Chiropractic Corp is 1427210822. It was assigned to this organization in the NPPES registry on June 26, 2008.

Where is Wilson C Park Chiropractic Corp located?

Wilson C Park Chiropractic Corp is located at 2940 Westwood Blvd #1, Los Angeles, CA 90064. The listed phone number is (310) 869-0536.

What is Wilson C Park Chiropractic Corp's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Wilson C Park Chiropractic Corp enrolled in Medicare?

Yes. Wilson C Park Chiropractic Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wilson C Park Chiropractic Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Wilson C Park Chiropractic Corp. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wilson C Park Chiropractic Corp was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.