Individual provider Active NPI

Howard Scott Vance, DC

  • Sports Physician Chiropractor
  • Pomona, CA
National Provider Identifier
1053648048
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
31029 Issued in CA
Practice address
520 E Foothill Blvd Ste a
Pomona, CA 91767-1200
Phone
(909) 399-9696
Fax
(909) 399-0065
NPI assigned
Nov 11, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 31029 CA Primary

Addresses

Primary practice location

520 E Foothill Blvd Ste a
Pomona, CA 91767-1200

Mailing address

520 E Foothill Blvd Ste a
Pomona, CA 91767-1200
Phone (909) 399-9696

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100909000901 CA Practitioner - Chiropractic 5193840494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5256 S Mission Rd
Suite 406
Bonsall, CA 92003-3622
Phone (760) 509-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vance Chiropractic, Inc. CurrentSince Jul 20, 2016 Accepting new patients
C. Greg Henderson DC Inc a Chiropractic Corporation PastSince Aug 1, 2016 Accepting new patients
Olsen Chiropractic and Performance Enhancement PastSince May 18, 2010 Accepting new patients

Organizations & group practices 3

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": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1053648048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E FOOTHILL BLVD STE A",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671200",
            "telephone_number": "909-399-9696",
            "fax_number": "909-399-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E FOOTHILL BLVD STE A",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671200",
            "telephone_number": "909-399-9696",
            "fax_number": "909-399-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "HOWARD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "31029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.