Suraces Chiropractic Back Alert Clinic, a Professional Corporation

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

10283 Issued in CA

Legal business name

SURACES CHIROPRACTIC BACK ALERT CLINIC, A PROFESSIONAL CORPORATION

Practice address

643 S Butte St
San Pedro, CA 90732-3510

Phone

(310) 831-5700

Fax

(310) 831-5700

NPI assigned

Jan 8, 2010

Last updated

Aug 4, 2016By 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. Vincent J. Surace, D.C.

Title

Chiropractor

Phone

(310) 831-5700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1144550450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 S BUTTE ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323510",
            "telephone_number": "310-831-5700",
            "fax_number": "310-831-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 S BUTTE ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323510",
            "telephone_number": "310-831-5700",
            "fax_number": "310-831-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURACES CHIROPRACTIC BACK ALERT CLINIC, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "SURACE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "310-831-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "10283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Sulser, PEER ADVOCATE
• Jerrine Susan Summer, DDS
• Laura Sun
• Zoe Freedom Sun, MD
• Vincent Joseph Surace Sr., D.C.
• Natalie Isabella Suric, LMFT
• Kelly Swearingen
• Birgitta Eva Sween, L.AC
• Jason Swiecki, FNP-BC
• Swift Medical Supply

• Health Maintenance Organization in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.