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Deactivated NPI 1760480065 Deactivated / Inactive NPI Male Practitioner

Dr. Ray Daniel Pendergraft , DC

Chiropractor • Redondo Beach, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ray Pendergraft has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 11, 2005
NPI Deactivation Date August 30, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Ray Pendergraft, DC was a registered Chiropractor practicing in Redondo Beach, CA. Throughout an active medical career spanning 20 years, Dr. Pendergraft provided care at the practice location at 2512 ARTESIA BLVD STE 230 until profile deactivation on 2025-08-30.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions, chiropractic manipulative treatment, 1-2 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2512 Artesia Blvd Ste 230

Redondo Beach, CA 902783277

Telephone 3107939926
Fax 3107988710

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Redondo Beach, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.6 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
58 Specialists

Practicing in Redondo Beach, CA (12100 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
13.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
186 23 $50.00 $43.19

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License CA DC12502

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 30, 2025

Record deactivated on August 30, 2025

NPI Profile Active March 23, 2015

NPI status registered as active in NPPES database

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Updated Practice Location March 23, 2015

Registered at 2512 ARTESIA BLVD STE 230, REDONDO BEACH, CA 902783277 (Tel: 3107939926)

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Updated Business Mailing Address March 23, 2015

Registered at 2512 ARTESIA BLVD STE 230, REDONDO BEACH, CA 902783277 (Tel: 3107939926)

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Provider Name / Credentials Updated March 23, 2015

Recorded as RAY PENDERGRAFT, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2015

Chiropractor (License #DC12502 in CA)

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Initial NPI Registration & Enumeration July 11, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760480065
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2005
Last Update: March 23, 2015
Deactivation Date: August 30, 2025

Mailing Address

2512 Artesia Blvd Ste 230

Redondo Beach, CA 902783277

Phone: 3107939926

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.