MEDICARE: OUSLEY CHIROPRACTIC PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1093661472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OUSLEY CHIROPRACTIC PC

Provider Business Mailing Address
First Line	:	3221 FRUITVALE AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94602-2114
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3221 FRUITVALE AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94602-2114
Country	:	US
Telephone Number	:	510-534-7484
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CARRIE A OUSLEY
Credential	:	DC
Telephone Number	:	209-505-2638

Provider Enumeration Date	:	03/07/2026
Last Update Date	:	03/07/2026

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Directions to “OUSLEY CHIROPRACTIC PC ” Practice Location

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