Bay Shore Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

32954 Issued in CA

Legal business name

BAY SHORE WELLNESS LLC

Practice address

5855 E Naples PLZ
Suite 113
Long Beach, CA 90803-5060

Phone

(562) 810-4916

NPI assigned

Dec 9, 2016

Organization subpart

No

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

Authorized official

Name

Yvette Johnson, DCNPI 1083022933

Title

Owner

Phone

(562) 810-4916

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Yvette Marie Johnson, DC

  • Chiropractor
  • Long Beach, CA
  • NPI 1083022933
  NPD Authorized official

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1174067128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 E NAPLES PLZ",
            "address_2": "SUITE 113",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035060",
            "telephone_number": "562-810-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 E NAPLES PLZ",
            "address_2": "SUITE 113",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035060",
            "telephone_number": "562-810-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY SHORE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-09",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-810-4916",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlo Bautista, RN
• Omar E Bautista
• Raymond M Bautista
• Sabrina Bautista
• Mark Daniel Baxter I, LMFT
• Bay Vista Healthcare & Wellness Centre LP
• Elizabeth Morales Bayaras, NP-C
• Baybreeze
• Sara Bayer
• Bayfront Healthcare Services

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.