DR. JACK E BERGSTROM D.C.
NPI 1548969702
Chiropractor in Alhambra, CA

Active since February 27, 2023
84 S PALM AVE, ALHAMBRA, CA 91801(626) 280-9968 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack E Bergstrom D.c. NPPES

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

DR. JACK E BERGSTROM D.C. (NPI 1548969702) is an individual chiropractor in Alhambra, California, licensed in California (36290) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1548969702
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JACK E BERGSTROMCredential: D.C.
Location Address84 S PALM AVEAlhambra, CA 91801-3101
Mailing Address1309 N Birchnell AveSan Dimas, CA 91773-1003 · (626) 482-2481
Sole ProprietorYes
Enumeration DateFebruary 27, 2023
NPPES CertifiedFebruary 27, 2023
NPI 1548969702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in CA · 36290
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.
84 S PALM AVE, Alhambra, CA 91801

Other Identifiers 2

Other36290CA · California Chiropractic Board
OtherF3317513CA · California Drivers License

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
84 S PALM AVE
ALHAMBRA, CA 91801
Physical Medicine & Rehabilitation (Neuromuscular Medicine)
84 S PALM AVE
ALHAMBRA, CA 91801
Chiropractor
84 S PALM AVE
ALHAMBRA, CA 91801
General Practice
84 S PALM AVE
ALHAMBRA, CA 91801
Chiropractor
84 S PALM AVE
ALHAMBRA, CA 91801

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 Jack Bergstrom's NPI number?

The NPI number for Jack Bergstrom is 1548969702. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Where is Jack Bergstrom located?

Jack Bergstrom practices at 84 S Palm Ave, Alhambra, CA 91801. The listed phone number is (626) 280-9968.

What is Jack Bergstrom's specialty?

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

When was this NPI record last updated?

The NPPES record for Jack Bergstrom was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.