100 Chiropractic Panchal Johnson Apc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

100 CHIROPRACTIC PANCHAL JOHNSON APC

Practice address

1921 W Imperial Hwy Ste B
La Habra, CA 90631-0613

Phone

(562) 383-7158

NPI assigned

Apr 7, 2025

Organization subpart

No

Name

Mona Panchal

Title

Manager

Phone

(562) 383-7158

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Johnson

  • Chiropractor
  • Fullerton, CA
  • NPI 1912463704

  CA, Chiropractor

  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

• 100 Percent Chiropractic La Habra Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 7, 2025.

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1124812904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 W IMPERIAL HWY STE B",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906310613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 W IMPERIAL HWY STE B",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906310613",
            "telephone_number": "562-383-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 CHIROPRACTIC PANCHAL JOHNSON APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "PANCHAL",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "562-383-7158"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "100 Percent Chiropractic La Habra",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adnan Abbuthalha

• All providers in La Habra, CA
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.