NPIMap

Organization Active NPI

Coastline Chiropractic Corp

  • Chiropractor
  • Northridge, CA
National Provider Identifier
1013232313
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25135 Issued in CA
Legal business name
COASTLINE CHIROPRACTIC CORP
Practice address
9535 Reseda Blvd Ste 301
Northridge, CA 91324-6031
Phone
(818) 718-1975
NPI assigned
Mar 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Dr. Jonathan Escobar, D.C.NPI 1982768727
Title
Doctor/Owner
Phone
(818) 718-1975

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC25135 CA Primary

Addresses

Primary practice location

9535 Reseda Blvd Ste 301
Northridge, CA 91324-6031

Mailing address

9535 Reseda Blvd Ste 301
Northridge, CA 91324-6031
Phone (818) 718-1975

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1013232313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9535 RESEDA BLVD STE 301",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913246031",
            "telephone_number": "818-718-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9535 RESEDA BLVD STE 301",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913246031",
            "telephone_number": "818-718-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "818-718-1975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.