Norcal Integrated Medical Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 27930 Issued in CA

Legal business name

NORCAL INTEGRATED MEDICAL CORP

Practice address

5637 N Pershing Ave Ste F1
Stockton, CA 95207-4943

Phone

(209) 952-8851

NPI assigned

Jun 13, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Frank Lagomarsino, D.C.

Title

Secretary

Phone

(209) 952-8851

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1033557889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4719 QUAIL LAKES DR # G-335",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075267",
            "telephone_number": "209-952-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5637 N PERSHING AVE STE F1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952074943",
            "telephone_number": "209-952-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORCAL INTEGRATED MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "LAGOMARSINO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "209-952-8851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 27930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.