NPIMap

Organization Active NPI

Pacific Empire Chiropractic a Professional Chiropractic 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
Practice address
4590 Riverside Dr
Suite B
Chino, CA 91710-3980
Phone
(909) 464-9880
Fax
(909) 591-4720
NPI assigned
May 15, 2007
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, DC
Title
Owner
Phone
(909) 464-9880

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 4

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": "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.