Joserodel Zavala Candelario, DC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

DC28449 Issued in CA

Practice address

5030 Bonita Rd
Suite B
Bonita, CA 91902-1700

Phone

(619) 479-7473

Fax

(619) 479-9376

NPI assigned

May 22, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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.

• Rise Chiropractic Inc

  • Chiropractor
  • Maple Shade, NJ
  • NPI 1851893614
  NPD (past)

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242950400000",
    "number": "1144455965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 BONITA RD",
            "address_2": "SUITE B",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919021700",
            "telephone_number": "619-479-7473",
            "fax_number": "619-479-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 BONITA RD",
            "address_2": "SUITE B",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919021700",
            "telephone_number": "619-479-7473",
            "fax_number": "619-479-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDELARIO",
        "first_name": "JOSERODEL",
        "middle_name": "ZAVALA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC28449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Buenaventura, DDS
• Fabriel D Burquez, DDS
• Beverly Calderon, RDN
• Ida Desolina Candelaria, L.AC.
• Candelario Chiropractic a Professional Corporation
• Carly Jane Carone
• Jeanette M Carranza Islas
• Leticia Y Carranza
• Casa Zen Acupuncture Inc
• Blanca Olivia Castelo

• Rehabilitation Chiropractor in Bonita, CA
• Providers in Bonita, CA by specialty
• Rehabilitation Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.