Active NPI
Talia Sophia Zuniga, DC
- Chiropractor
- Wildomar, CA
National Provider Identifier
1205501186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC36112
- Practice address
- 21535 Palomar St
Wildomar, CA 92595-7767 - Phone
- (951) 674-6841
- NPI assigned
- Aug 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC36112 | CA | Primary |
Addresses
Primary practice location
21535 Palomar St
Wildomar, CA 92595-7767
Mailing address
7555 Plumaria Dr
Fontana, CA 92336-1617
Phone (909) 782-9308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240524001316 | CA | Practitioner - Chiropractic | 5193167997 | Practice locations: Wildomar, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
21535 Palomar St
Suite I
Wildomar, CA 92595-7763
Phone (951) 674-6843
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC36112 | CA | MD | Chiropractor |
| 36112 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zuniga Revive Chiropractic Corporation | Chiropractor | Current | Accepting new patients |
Locations
21535 Palomar St
Ste I
Wildomar, CA 92595
Phone (951) 674-6841
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.
-
- Chiropractor
- Wildomar, CA
- NPI 1366396012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1205501186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7555 PLUMARIA DR",
"city": "FONTANA",
"state": "CA",
"postal_code": "923361617",
"telephone_number": "909-782-9308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21535 PALOMAR ST",
"city": "WILDOMAR",
"state": "CA",
"postal_code": "925957767",
"telephone_number": "951-674-6841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUNIGA",
"first_name": "TALIA",
"middle_name": "SOPHIA",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-12",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC36112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wildomar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.