Individual provider Active NPI

James B Vandal, D.C

  • Chiropractor
  • Sacramento, CA
National Provider Identifier
1275601304
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0288670 Issued in CA
Practice address
2400 Marconi Ave Ste D
Sacramento, CA 95821-4858
Phone
(916) 972-1100
Fax
(916) 972-1615
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0288670 CA Primary

Addresses

Primary practice location

2400 Marconi Ave Ste D
Sacramento, CA 95821-4858

Mailing address

4725 Hutson Way
Elk Grove, CA 95757-3543
Phone (916) 714-6447

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC0288670CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nam Hoon Kim PC Chiropractor Past Accepting new patients
Duncan Health Centers, LLC Past Accepting new patients
Palatnik Medical Corporation Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275601304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 HUTSON WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957573543",
            "telephone_number": "916-714-6447",
            "fax_number": "916-972-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MARCONI AVE STE D",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958214858",
            "telephone_number": "916-972-1100",
            "fax_number": "916-972-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDAL",
        "first_name": "JAMES",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0288670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.