Individual provider Active NPI

Sandra Yvonne Marquez-Vidal, DC/L.AC

  • Chiropractor
  • Whittier, CA
National Provider Identifier
1184856361
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26098 Issued in CA
Practice address
7754 Painter Ave
Whittier, CA 90602
Phone
(562) 708-1393
NPI assigned
Aug 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC26098 CA Primary
Acupuncturist 171100000X AC9754 CA

Addresses

Primary practice location

7754 Painter Ave
Whittier, CA 90602

Mailing address

5532 E. Whittier Blvd
#77
Los Angeles, CA 90022
Phone (562) 708-1393

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13025 Bailey St
Whittier, CA 90601-4211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC26098CAMDChiropractor
AC9754CAMDAcupuncturist
26098CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1184856361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5532 E. WHITTIER BLVD",
            "address_2": "#77",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90022",
            "telephone_number": "562-708-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7754 PAINTER AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90602",
            "telephone_number": "562-708-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ-VIDAL",
        "first_name": "SANDRA",
        "middle_name": "YVONNE",
        "credential": "DC/L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26098",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9754",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.