Prestin Chiropractic Professional Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-27950 Issued in CA

Legal business name

PRESTIN CHIROPRACTIC PROFESSIONAL CORPORATION

Practice address

1623 Goodyear Ave
Suite B
Ventura, CA 93003-5804

Phone

(805) 658-8115

NPI assigned

Aug 31, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eric Prestin, D.C.NPI 1528084241

Title

President

Phone

(805) 658-8115

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Prestin, D.C.

  • Chiropractor
  • Ventura, CA
  • NPI 1528084241
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1013028919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 GOODYEAR AVE",
            "address_2": "SUITE B",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035804",
            "telephone_number": "805-658-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 GOODYEAR AVE",
            "address_2": "SUITE B",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035804",
            "telephone_number": "805-658-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIN CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "PRESTIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-658-8115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-27950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Thomas Powell, M.D.
• Kaitlyn June Prado
• Samantha Rosemary Prado
• Richard Pratt, M.D.
• Morgan Presson
• Eric Prestin, D.C.
• Alison Nicole Prestridge, AMFT, APCC, CADCIII
• Stacey Pribanic, L.AC.
• Danielle Kathleen Price, LMFT
• Danielle Nicole Lippert Price, PT

• Chiropractor in Ventura, CA
• Providers in Ventura, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.