Fibromyalgia Relief Center of Lake Tahoe

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

11681 Issued in CA

Legal business name

FIBROMYALGIA RELIEF CENTER OF LAKE TAHOE

Practice address

961 Emerald Bay Rd
South Lake Tahoe, CA 96150-6410

Phone

(530) 543-1800

Fax

(530) 544-0636

NPI assigned

Sep 5, 2007

Last updated

Sep 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul E Whitcomb, DC

Title

Chiropractor

Phone

(530) 318-8963

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1073707725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 EMERALD BAY RD",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506410",
            "telephone_number": "530-543-1800",
            "fax_number": "530-544-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 EMERALD BAY RD",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506410",
            "telephone_number": "530-543-1800",
            "fax_number": "530-544-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIBROMYALGIA RELIEF CENTER OF LAKE TAHOE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "WHITCOMB",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "530-318-8963",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "11681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Anne Fatino, RDHAP
• Jessica Faucett
• Elizabeth Fedor, LADC
• Philip D Fenske
• Patricia L Ferraro, D.P.M.
• Wyatt H Fiddyment
• Danielle Theresa Field, NP
• Valerie Marie Finnigan, RN, PHN
• Ellen Fisher, LCSW
• Melissa Fisk

• Point of Service in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.