Organization Active NPI

Molina Chiropractic Professional Corporation

  • Chiropractor
  • San Clemente, CA
National Provider Identifier
1205890712
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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

Updated by the provider on Aug 12, 2015

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
ZZZ07388ZOtherCABLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.