Individual provider Active NPI

Joel Correa, DC

  • Chiropractor
  • Paso Robles, CA
National Provider Identifier
1033130620
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 28470 Issued in CA
Practice address
345 Spring St
Paso Robles, CA 93446-3168
Phone
(805) 238-7250
Fax
(805) 238-0165
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 28470 CA Primary

Addresses

Primary practice location

345 Spring St
Paso Robles, CA 93446-3168

Mailing address

2050 S Blosser Rd
Santa Maria, CA 93458-7310
Phone (805) 361-8030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050715000738 CA Practitioner - Chiropractic 5698701191 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 28470CAMDChiropractor

Practice roles (10 of 11)

OrganizationSpecialtyStatusNew patients
Diaso Chiropractic Professional Corporation Chiropractor CurrentSince Nov 3, 2023 Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Oct 6, 2019 Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Oct 6, 2019 Accepting new patients
Pomona Community Health Center CurrentSince Dec 3, 2023 Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Pomona Community Health Center Current Accepting new patients
Pomona Community Health Center CurrentSince Dec 3, 2023 Accepting new patients
Community Health Centers of the Central Coast Inc Past Accepting new patients

Locations

2150 Main St
Cambria, CA 93428
Phone (805) 395-3277

660 Harbor St
Morro Bay, CA 93442
Phone (805) 771-8489

150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254

345 Spring St
Paso Robles, CA 93446
Phone (805) 238-7250

1450 E Holt Ave
Pomona, CA 91767

2050 S Blosser Rd
Santa Maria, CA 93458
Phone (805) 361-8014

1551 Bishop St
Ste A160
Sn Luis Obisp, CA 93401
Phone (805) 781-4230

325 Posada Ln
Templeton, CA 93465
Phone (805) 239-0644

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: joel.correa.p3@direct.parktreechc.nextgenshare.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1033130620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 S BLOSSER RD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587310",
            "telephone_number": "805-361-8030",
            "fax_number": "805-361-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 SPRING ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934463168",
            "telephone_number": "805-238-7250",
            "fax_number": "805-238-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "JOEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 28470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paso Robles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.