Organization Active NPI

Inland Empire Spine

  • Chiropractor
  • Fontana, CA
National Provider Identifier
1205284494
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC31787 Issued in CA
Legal business name
INLAND EMPIRE SPINE
Practice address
9673 Sierra Ave
Suite a
Fontana, CA 92335-2424
Phone
(909) 829-8722
Fax
(909) 829-4403
NPI assigned
May 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Dr. Peter Hong, DC
Title
Doctor of Chiropractic
Phone
(909) 829-8722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC31787 CA Primary

Addresses

Primary practice location

9673 Sierra Ave
Suite a
Fontana, CA 92335-2424

Mailing address

9673 Sierra Ave
Suite a
Fontana, CA 92335-2424
Phone (909) 829-8722

National Provider Directory

National Provider Directory

Locations

9673 Sierra Ave
Ste A
Fontana, CA 92335
Phone (909) 829-8722

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1205284494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9673 SIERRA AVE",
            "address_2": "SUITE A",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923352424",
            "telephone_number": "909-829-8722",
            "fax_number": "909-829-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9673 SIERRA AVE",
            "address_2": "SUITE A",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923352424",
            "telephone_number": "909-829-8722",
            "fax_number": "909-829-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND EMPIRE SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "909-829-8722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.