Individual provider Active NPI

Vincent R Marcel, D C

  • Chiropractor
  • El Segundo, CA
National Provider Identifier
1093998791
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24495 Issued in CA
Practice address
1924 E Maple Ave # B
Same
El Segundo, CA 90245-3411
Phone
(310) 546-6863
Fax
(310) 333-0763
NPI assigned
Dec 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC24495 CA Primary

Addresses

Primary practice location

1924 E Maple Ave # B
Same
El Segundo, CA 90245-3411

Mailing address

1924 E Maple Ave # B
El Segundo, CA 90245-3411
Phone (310) 546-6863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC24495CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1093998791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 E MAPLE AVE # B",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902453411",
            "telephone_number": "310-546-6863",
            "fax_number": "310-333-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 E MAPLE AVE # B",
            "address_2": "SAME",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902453411",
            "telephone_number": "310-546-6863",
            "fax_number": "310-333-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCEL",
        "first_name": "VINCENT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.