Russell Thompson Chiropractic Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

DC31976 Issued in CA

Legal business name

RUSSELL THOMPSON CHIROPRACTIC INC

Practice address

629 Camino de Los Mares, Ste. 104
San Clemente, CA 92672

Phone

(949) 240-1334

Fax

(949) 240-4434

NPI assigned

Jul 25, 2017

Organization subpart

No

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

Authorized official

Name

Cathy Stabley

Title

Office Manager

Phone

(949) 240-1334

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 5

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

• Russell Joseph Thompson, D.C.

  • Chiropractor
  • San Clemente, CA
  • NPI 1487946919
  Medicare reassignment
• Daniel Lukenchuk, DC

  • Sports Physician Chiropractor
  • San Clemente, CA
  • NPI 1346130630
  NPD
• David Ahrens, D.C.

  • Chiropractor
  • San Clemente, CA
  • NPI 1639188212
  NPD (past)
• Corey Diamond, DC34416

  • Chiropractor
  • San Clemente, CA
  • NPI 1174089932
  NPD (past)
• Mark Metildi, D.C.

  • Chiropractor
  • San Clemente, CA
  • NPI 1427200633
  NPD (past)

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174046874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 CAMINO DE LOS MARES STE 104",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732829",
            "telephone_number": "949-240-1334",
            "fax_number": "949-240-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 CAMINO DE LOS MARES, STE. 104",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "92672",
            "telephone_number": "949-240-1334",
            "fax_number": "949-240-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL THOMPSON CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STABLEY",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-240-1334"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "DC31976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Christine Ross
• Richard Charles Roth, D.C.
• Peter Morris Rothenberg, M.D.,M.A.
• Sharon Marie Roybal, LMFT
• Tania Elizabeth Ruiz-Salgado, MFT
• Kristin Rutledge
• Douglas Devin Ryan, CMT
• Nicki Ryan, CBRE
• Savannah Ryan
• Scott Lawrence Ryan, BVMS

• Clinic/Center in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.