Peter Anthony Moncado, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC25906 Issued in CA

Practice address

12439 Poway Rd
Suite a
Poway, CA 92064

Phone

(858) 679-8179

Fax

(858) 679-3793

NPI assigned

Nov 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Chiropractic Solutions LLC

  • Chiropractor
  • Poway, CA
  • NPI 1619514668
  NPD (past)
• Hengesteg Chiropractic Corporation

  • Chiropractor
  • Poway, CA
  • NPI 1053574020
  NPD (past)

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1053591099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12439 POWAY RD",
            "address_2": "SUITE A",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "92064",
            "telephone_number": "858-679-8179",
            "fax_number": "858-679-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12439 POWAY RD",
            "address_2": "SUITE A",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "92064",
            "telephone_number": "858-679-8179",
            "fax_number": "858-679-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCADO",
        "first_name": "PETER",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "25906",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL #",
            "identifier": "WDC25906A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie Mixter, MS, RD, HHP
• Jessica Mlakar, L.AC.
• Kerri Liles Moehlenpah, MA, MFT
• Samuel Allen Moehlenpah, MA, MFT
• Mahnaz Nina Mojaver, D.M.D.
• Brandon Moncur
• Jasmine Mondragon
• Monica Ormsby, MD Inc
• Tatum Monk
• Alicia Monkarsh, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.