Individual provider Active NPI

Nancy Molina, D.C.

  • Chiropractor
  • San Clemente, CA
National Provider Identifier
1104880616
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC23325 Issued in CA
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

Updated by the provider on Sep 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
57738OtherCAAMERICAN SPECIALTY HEALTH
2507809OtherCAAETNA HMO/POS
DC0233250MedicaidCA
0004610391OtherCAAETNA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040216001300 CA Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 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

Verify at the official NPI Registry.