Individual provider Active NPI

Jose G. Ponce, D,C., QME

  • Chiropractor
  • Norco, CA
National Provider Identifier
1174685366
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 26798 Issued in CA
Practice address
1675 Hamner Ave
Suite 2
Norco, CA 92860-2973
Phone
(951) 582-9387
Fax
(951) 582-0916
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 26798 CA Primary

Addresses

Primary practice location

1675 Hamner Ave
Suite 2
Norco, CA 92860-2973

Mailing address

1675 Hamner Ave
Suite 2
Norco, CA 92860-2973
Phone (951) 582-9387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC 26798CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hidden Valley Chiropractic Chiropractor Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174685366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 HAMNER AVE",
            "address_2": "SUITE 2",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928602973",
            "telephone_number": "951-582-9387",
            "fax_number": "951-582-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 HAMNER AVE",
            "address_2": "SUITE 2",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928602973",
            "telephone_number": "951-582-9387",
            "fax_number": "951-582-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE",
        "first_name": "JOSE",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D,C., QME",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 26798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.