Organization Active NPI

Jonathan Carlos Chiropractic PC

Doing business as Bay Harbor Chiropractic and Wellness

  • Chiropractor
  • Harbor City, CA
National Provider Identifier
1063109270
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JONATHAN CARLOS CHIROPRACTIC PC
Doing business as
Bay Harbor Chiropractic and Wellness
Practice address
1403 Lomita Blvd Ste 301
Harbor City, CA 90710-2085
Phone
(818) 573-8341
NPI assigned
Apr 18, 2023
Last updated
Jun 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Authorized official

Name
Dr. Jonathan Anthony Enriquez Carlos, DCNPI 1578218129
Title
Ceo
Phone
(818) 573-8341

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1403 Lomita Blvd Ste 301
Harbor City, CA 90710-2085

Mailing address

1403 Lomita Blvd Ste 301
Harbor City, CA 90710-2085
Phone (818) 573-8341

Other names 1

  • Bay Harbor Chiropractic and Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1063109270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 LOMITA BLVD STE 301",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102085",
            "telephone_number": "818-573-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 LOMITA BLVD STE 301",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102085",
            "telephone_number": "818-573-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN CARLOS CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "CARLOS",
        "authorized_official_first_name": "JONATHAN ANTHONY",
        "authorized_official_middle_name": "ENRIQUEZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-573-8341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Harbor Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bay Harbor Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harbor City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.