NPIMap

Organization Active NPI

Pacific Empire Chiropractic a Professional Chiropractic Corporation

Doing business as Pacific Empire Chiropractic a Professional Corporation

  • Chiropractor
  • Chino, CA
National Provider Identifier
1043426166
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC21111 Issued in CA
Legal business name
PACIFIC EMPIRE CHIROPRACTIC A PROFESSIONAL CHIROPRACTIC CORPORATION
Doing business as
Pacific Empire Chiropractic a Professional Corporation
Practice address
4590 Riverside Dr
Suite B
Chino, CA 91710-3980
Phone
(909) 464-9880
Fax
(909) 591-4720
NPI assigned
May 15, 2007
Last updated
Jul 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Authorized official

Name
Dr. Gary L Sannes, DCNPI 1568519460
Title
Owner
Phone
(909) 464-9880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC21111 CA Primary

Addresses

Primary practice location

4590 Riverside Dr
Suite B
Chino, CA 91710-3980

Mailing address

4590 Riverside Dr
Suite B
Chino, CA 91710-3980
Phone (909) 464-9880

Other names 1

  • PACIFIC EMPIRE CHIROPRACTIC A PROFESSIONAL CORPORATION Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1043426166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4590 RIVERSIDE DR",
            "address_2": "SUITE B",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103980",
            "telephone_number": "909-464-9880",
            "fax_number": "909-591-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4590 RIVERSIDE DR",
            "address_2": "SUITE B",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103980",
            "telephone_number": "909-464-9880",
            "fax_number": "909-591-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC EMPIRE CHIROPRACTIC A PROFESSIONAL CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "SANNES",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-464-9880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACIFIC EMPIRE CHIROPRACTIC A PROFESSIONAL CORPORATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.