Raymond Bracamontes, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

25551 Issued in CA

Practice address

19004 Soledad Canyon Rd
Canyon Country, CA 91351-3362

Phone

(661) 367-3009

NPI assigned

Jan 13, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bracamontes Chiropractic Corp.

  • Chiropractor
  • Canyon Country, CA
  • NPI 1588735187
  NPD (past) Authorized official
• Frye Chiropractic, Inc

  • Multi-Specialty Clinic/Center
  • Lancaster, CA
  • NPI 1205860558
  NPD (past)

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1104466689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 COCONUT PL",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935516959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19004 SOLEDAD CANYON RD",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913513362",
            "telephone_number": "661-367-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACAMONTES",
        "first_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "25551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA CHIROPRACTIC LICENSE NUMBER",
            "identifier": "25551",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Bizzle, RD.
• Krystal Janae Blunt, LVN
• Shawn Michael Bond, P.A.-C
• Jessica Bong, DDS
• Bracamontes Chiropractic Corp.
• Breast Time of Life LLC
• Brenda Paola Briviesca
• Elliot Mark Bronwein, OD.
• Thinh Van Bui, DDS
• Nosheen Zahra Bukhari, RPH

• Chiropractor in Canyon Country, CA
• Providers in Canyon Country, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.