Individual provider Active NPI

Elizabeth Cuevas Mojabe, D.C.

  • Chiropractor
  • Rancho Cucamonga, CA
National Provider Identifier
1285712265
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 21063 Issued in CA
Practice address
9555 Foothill Blvd Ste B
Rancho Cucamonga, CA 91730-3576
Phone
(909) 466-7363
Fax
(909) 466-7365
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

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 DC 21063 CA Primary

Addresses

Primary practice location

9555 Foothill Blvd Ste B
Rancho Cucamonga, CA 91730-3576

Mailing address

9555 Foothill Blvd Ste B
Rancho Cucamonga, CA 91730-3576
Phone (909) 466-7363

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
DC 21063CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mojabe Enterprises, LLC Chiropractor Current Accepting new patients

Locations

9555 Foothill Blvd
Ste A
Rancho Cucamonga, CA 91730
Phone (909) 466-7363

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285712265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 FOOTHILL BLVD STE B",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303576",
            "telephone_number": "909-466-7363",
            "fax_number": "909-466-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 FOOTHILL BLVD STE B",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303576",
            "telephone_number": "909-466-7363",
            "fax_number": "909-466-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOJABE",
        "first_name": "ELIZABETH",
        "middle_name": "CUEVAS",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 21063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, 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.