Active NPI
Nancy Molina, D.C.
- Chiropractor
- San Clemente, CA
National Provider Identifier
1104880616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC23325
- Practice address
- 647 Camino de Los Mares 226
San Clemente, CA 92673-2860 - Phone
- (949) 248-2826
- Fax
- (949) 248-2815
- NPI assigned
- Apr 12, 2006
- Sex
- Female
- 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 | DC23325 | CA | Primary |
Addresses
Primary practice location
647 Camino de Los Mares 226
San Clemente, CA 92673-2860
Mailing address
647 Camino de Los Mares 226
San Clemente, CA 92673-2860
Phone (949) 248-2826
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57738 | Other | CA | AMERICAN SPECIALTY HEALTH |
| 2507809 | Other | CA | AETNA HMO/POS |
| DC0233250 | Medicaid | CA | |
| 0004610391 | Other | CA | AETNA TRAD/EPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040216001300 | CA | Practitioner - Chiropractic | 1254226533 |
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": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441756800000",
"number": "1104880616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "647 CAMINO DE LOS MARES 226",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926732860",
"telephone_number": "949-248-2826",
"fax_number": "949-248-2815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "647 CAMINO DE LOS MARES 226",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926732860",
"telephone_number": "949-248-2826",
"fax_number": "949-248-2815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLINA",
"first_name": "NANCY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-12",
"last_updated": "2015-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC23325",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPECIALTY HEALTH",
"identifier": "57738",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO/POS",
"identifier": "2507809",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DC0233250",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA TRAD/EPO",
"identifier": "0004610391",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.