Active NPI
Molina Chiropractic Professional Corporation
- Chiropractor
- San Clemente, CA
National Provider Identifier
1205890712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- MOLINA CHIROPRACTIC PROFESSIONAL CORPORATION
- Practice address
- 647 Camino de Los Mares
Suite 226
San Clemente, CA 92673-2825 - Phone
- (949) 248-2826
- Fax
- (949) 248-2815
- NPI assigned
- Apr 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nancy Molina, D.C.
- Title
- Ceo/Owner
- Phone
- (949) 248-2826
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
647 Camino de Los Mares
Suite 226
San Clemente, CA 92673-2825
Mailing address
647 Camino de Los Mares
226 Post Stop108-90
San Clemente, CA 92673-2825
Phone (949) 248-2826
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ07388Z | Other | CA | BLUE CROSS/BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
647 Camino de los Mares
Stop 10890
San Clemente, CA 92673
32302 Camino Capistrano
Ste 108
San Juan Capo, CA 92675
Phone (949) 248-2826
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Kailua Kona, HI
- NPI 1477517985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439337600000",
"number": "1205890712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "647 CAMINO DE LOS MARES",
"address_2": "226 POST STOP108-90",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926732825",
"telephone_number": "949-248-2826",
"fax_number": "949-248-2815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "647 CAMINO DE LOS MARES",
"address_2": "SUITE 226",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926732825",
"telephone_number": "949-248-2826",
"fax_number": "949-248-2815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOLINA CHIROPRACTIC PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-12",
"last_updated": "2015-08-12",
"status": "A",
"authorized_official_last_name": "MOLINA",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "949-248-2826",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "ZZZ07388Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Clemente, CA
- Albert Modad, PSYD
- Frank Joseph Mogavero, DDS MS
- Maziyar Mohsenpour, DC
- Moisan Physical Therapy and Wellness, Inc (MPower Physical Therapy and Wellness)
- Constance Anne Moisan, DPT
- Dulce Molina de Briones, ND, PA-C
- Nancy Molina, D.C.
- Mona Soliman DDS Inc (San Clemente Dental Care)
- Kylee Moniz
- Mary Elizabeth Montagna, P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.