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ACTIVE CARE SPINE CENTER
NPI 1629271846
Chiropractor in Encino, CA

Active since June 06, 2007
5363 BALBOA BLVD, SUITE #439, ENCINO, CA 91316(818) 401-3295(818) 387-6142 Get Directions Write a Review

NPPES record last updated: June 17, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Active Care Spine Center NPPES

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

ACTIVE CARE SPINE CENTER (NPI 1629271846) is a healthcare organization registered as a chiropractor in Encino, California and active in the NPI registry since June 2007. The organization lists Brian Bernard Gordon, President, as its authorized official.

NPPES Registry Identity

NPI1629271846
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBRIAN GORDON DC LAC ACUPUNCTURE PROFESSIONAL CORPORATION
Location Address5363 BALBOA BLVD, SUITE #439Encino, CA 91316-2805
Mailing Address5363 Balboa Blvd Ste 436Encino, CA 91316-2840 · (818) 386-8835 · Fax (818) 387-6142
Phone(818) 401-3295
Fax(818) 387-6142
Organization SubpartNo
Authorized OfficialBrian Bernard GordonPresident · (818) 386-8835
Enumeration DateJune 6, 2007
Last NPPES UpdateJune 17, 2016
✔ NPI 1629271846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC-29620
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.
Also ListedAcupuncturistTaxonomy 171100000X · License AC-13010 (CA)
5363 BALBOA BLVD, Encino, CA 91316
Open in Google Maps ↗

Other Names 1

Doing Business AsActive Care Spine Center

Other Identifiers 2

OtherDC29620CA · Medicare Ptan
Medicare UPINV06023CA

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)

Active Care Spine Center 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 Active Care Spine Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brian Gordon, DC, LAC
Chiropractic
NPI 1750445821
5363 BALBOA BLVD SUITE 436
Encino, CA 91316
(818) 386-8835
✔ Accepts MedicareSame 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 Brian Gordon Dc Lac Acupuncture Professional Corporation's NPI number?

The NPI number for Brian Gordon Dc Lac Acupuncture Professional Corporation is 1629271846. It was assigned to this organization in the NPPES registry on June 6, 2007. The provider is doing business as Active Care Spine Center.

Where is Brian Gordon Dc Lac Acupuncture Professional Corporation located?

Brian Gordon Dc Lac Acupuncture Professional Corporation is located at 5363 Balboa Blvd Suite #439, Encino, CA 91316. The listed phone number is (818) 401-3295.

What is Brian Gordon Dc Lac Acupuncture Professional Corporation's specialty?

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

Is Brian Gordon Dc Lac Acupuncture Professional Corporation enrolled in Medicare?

Yes. Brian Gordon Dc Lac Acupuncture Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brian Gordon Dc Lac Acupuncture Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Brian Gordon Dc Lac Acupuncture 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Brian Gordon Dc Lac Acupuncture Professional Corporation was last updated on June 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.