Individual provider Active NPI

Loc Minh Tieu, DC

  • Chiropractor
  • San Bernardino, CA
National Provider Identifier
1225268683
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27549 Issued in CA
Practice address
236 W Orange Show Rd Ste 114
San Bernardino, CA 92408-2036
Phone
(909) 386-1444
Fax
(909) 386-1555
NPI assigned
Jul 20, 2009
Last updated
Jul 20, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC27549 CA Primary

Addresses

Primary practice location

236 W Orange Show Rd Ste 114
San Bernardino, CA 92408-2036

Mailing address

236 W Orange Show Rd Ste 114
San Bernardino, CA 92408-2036
Phone (909) 386-1444

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC27549CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1225268683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W ORANGE SHOW RD STE 114",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082036",
            "telephone_number": "909-386-1444",
            "fax_number": "909-386-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W ORANGE SHOW RD STE 114",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082036",
            "telephone_number": "909-386-1444",
            "fax_number": "909-386-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEU",
        "first_name": "LOC",
        "middle_name": "MINH",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.