MEDICARE: JEFFERS CHIROPRACTIC AND SPORTS INJURIES, INC.

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	:	1851223879
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEFFERS CHIROPRACTIC AND SPORTS INJURIES, INC.

Provider Business Mailing Address
First Line	:	7770 REGENTS RD STE 105
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-1937
Country	:	US
Telephone Number	:	858-452-7770
Fax Number	:	858-452-0027

Provider Business Practice Location Address
First Line	:	7770 REGENTS RD STE 105
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-1937
Country	:	US
Telephone Number	:	858-452-7770
Fax Number	:	858-452-0027

Authorized Official
Title or Position	:	DOCTOR OF CHIOROPRACTIC
Name	:	SCOTT ROBERT JEFFERS
Credential	:	DC
Telephone Number	:	858-452-7770

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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