Individual provider Active NPI

Latifa Lorena Rainbow, D.C.

  • Chiropractor
  • San Rafael, CA
National Provider Identifier
1174724660
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15019 Issued in CA
Practice address
12 Lochness LN
San Rafael, CA 94901-2425
Phone
(415) 457-9394
Fax
(415) 457-0958
NPI assigned
May 30, 2007
Sex
Female
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 15019 CA Primary

Addresses

Primary practice location

12 Lochness LN
San Rafael, CA 94901-2425

Mailing address

12 Lochness LN
San Rafael, CA 94901-2425
Phone (415) 457-9394

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
15019CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Ease LLC Chiropractor PastSince Oct 20, 2024 Accepting new patients
Casad Chiropractic Chiropractor PastSince Jul 17, 2022 Accepting new patients

Organizations & group practices 2

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174724660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LOCHNESS LN",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012425",
            "telephone_number": "415-457-9394",
            "fax_number": "415-457-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LOCHNESS LN",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012425",
            "telephone_number": "415-457-9394",
            "fax_number": "415-457-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINBOW",
        "first_name": "LATIFA",
        "middle_name": "LORENA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "15019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, 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.