100 Chiropractic Hermosa Beach, Apc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

100 CHIROPRACTIC HERMOSA BEACH, APC

Practice address

1559 Pacific Coast Hwy Ste 105
Hermosa Beach, CA 90254-3214

Phone

(719) 217-0895

NPI assigned

May 11, 2022

Last updated

May 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kendra Sietsema

Title

Owner

Phone

(719) 217-0895

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1124764188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 PACIFIC COAST HWY STE 105",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 PACIFIC COAST HWY STE 105",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543214",
            "telephone_number": "719-217-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 CHIROPRACTIC HERMOSA BEACH, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "SIETSEMA",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-217-0895",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 100 Chiropractic Grant HB Inc (100 Percent Chiropractic Hermosa Beach)
• A Precious Elder LLC
• Regina Abayev, AMFT
• Lana Vasiljevic Abelson, MD
• Sara Marenda Aceves, DPT
• Alexandra Acheson, ED.S, LEP

• Chiropractor in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.