Active NPI
Danny Basil Bachoua, D.C.
- Rehabilitation Chiropractor
- La Mesa, CA
National Provider Identifier
1265762124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 31479
- Practice address
- 3691 Via Mercado
Unit 15
La Mesa, CA 91941-8301 - Phone
- (619) 444-3191
- Fax
- (619) 444-3193
- NPI assigned
- Dec 28, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 31479 | CA | Primary |
Addresses
Primary practice location
3691 Via Mercado
Unit 15
La Mesa, CA 91941-8301
Mailing address
3691 Via Mercado
Unit 15
La Mesa, CA 91941-8301
Phone (619) 444-3191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3691 Via Mercado
Suite 15
La Mesa, CA 91941-8325
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31479 | CA | MD | Clinical Psychologist |
| DC34179 | CA | MD | Chiropractor |
| 34179 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Cincotta Chiropractic | Past | Accepting new patients | |
| College Health Center | Past | Accepting new patients |
Organizations & group practices 2
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
- San Diego, CA
- NPI 1851659197
-
- Chiropractor
- La Mesa, CA
- NPI 1093872244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271203200000",
"number": "1265762124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3691 VIA MERCADO",
"address_2": "UNIT 15",
"city": "LA MESA",
"state": "CA",
"postal_code": "919418301",
"telephone_number": "619-444-3191",
"fax_number": "619-444-3193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3691 VIA MERCADO",
"address_2": "UNIT 15",
"city": "LA MESA",
"state": "CA",
"postal_code": "919418301",
"telephone_number": "619-444-3191",
"fax_number": "619-444-3193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHOUA",
"first_name": "DANNY",
"middle_name": "BASIL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-28",
"last_updated": "2010-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "31479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.