Active NPI
Jacob Vincent Isaias Melendez, D.C.
- Chiropractor
- Cardiff, CA
National Provider Identifier
1104330596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34033
- Practice address
- 120 Birmingham Dr Ste 100
Cardiff, CA 92007-1744 - Phone
- (760) 944-0563
- NPI assigned
- Nov 22, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 34033 | CA | Primary |
Addresses
Primary practice location
120 Birmingham Dr Ste 100
Cardiff, CA 92007-1744
Mailing address
120 Birmingham Dr Ste 100
Cardiff, CA 92007-1744
Phone (760) 944-0563
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511308800000",
"number": "1104330596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 BIRMINGHAM DR STE 100",
"city": "CARDIFF",
"state": "CA",
"postal_code": "920071744",
"telephone_number": "760-944-0563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 BIRMINGHAM DR STE 100",
"city": "CARDIFF",
"state": "CA",
"postal_code": "920071744",
"telephone_number": "760-944-0563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ",
"first_name": "JACOB",
"middle_name": "VINCENT ISAIAS",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-22",
"last_updated": "2017-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "34033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cardiff, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.