NPIMap

Organization Active NPI

JC Chiropractic, P.C.

  • Chiropractor
  • Chula Vista, CA
National Provider Identifier
1083110274
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28449 Issued in CA
Legal business name
JC CHIROPRACTIC, P.C.
Practice address
320 Broadway Ste 2
Chula Vista, CA 91910-3502
Phone
(619) 422-0404
NPI assigned
Apr 5, 2018
Last updated
Apr 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Authorized official

Name
Dr. Jose Candelario, D.C.
Title
President
Phone
(619) 422-0404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC28449 CA Primary

Addresses

Primary practice location

320 Broadway Ste 2
Chula Vista, CA 91910-3502

Mailing address

320 Broadway Ste 2
Chula Vista, CA 91910-3502
Phone (619) 422-0404

Other practice location 1

2417 Fenton St Ste A
Chula Vista, CA 91914-3517
Phone (619) 591-7000

National Provider Directory

National Provider Directory

Locations

320 Broadway
#2
Chula Vista, CA 91910
Phone (619) 422-0404

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1083110274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BROADWAY STE 2",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103502",
            "telephone_number": "619-422-0404",
            "fax_number": "619-422-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BROADWAY STE 2",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103502",
            "telephone_number": "619-422-0404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2417 Fenton St Ste A",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919143517",
            "country_code": "US",
            "telephone_number": "619-591-7000",
            "fax_number": "619-591-7049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JC CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "CANDELARIO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-422-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.