Active NPI
Charina L Holmes, DC
- Sports Physician Chiropractor
- Monterey Park, CA
National Provider Identifier
1275533200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC19151
- Practice address
- 257 W Pomona Blvd
Monterey Park, CA 91754-7120 - Phone
- (323) 728-3101
- Fax
- (323) 728-7284
- NPI assigned
- Aug 1, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | DC19151 | CA | Primary |
Addresses
Primary practice location
257 W Pomona Blvd
Monterey Park, CA 91754-7120
Mailing address
257 W Pomona Blvd
Monterey Park, CA 91754-7120
Phone (323) 728-3101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC01091510 | Other | CA | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
257 W Pomona Blvd
Monterey Park, CA 91754-7120
Phone (323) 728-3101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC19151 | CA | MD | Sports Physician Chiropractor |
| 19151 | CA | MD | Family Nurse Practitioner |
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.
-
- Sports Physician Chiropractor
- Monterey Park, CA
- NPI 1477718880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1275533200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "257 W POMONA BLVD",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917547120",
"telephone_number": "323-728-3101",
"fax_number": "323-728-7284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "257 W POMONA BLVD",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917547120",
"telephone_number": "323-728-3101",
"fax_number": "323-728-7284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "CHARINA",
"middle_name": "L",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-01",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "DC19151",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "DC01091510",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.