Organization Active NPI

Rattray Chiropractic Corporation

Doing business as Pro Sports-Med Chiropractic

  • Sports Physician Chiropractor
  • Garden Grove, CA
National Provider Identifier
1295889947
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC19952 Issued in CA
Legal business name
RATTRAY CHIROPRACTIC CORPORATION
Doing business as
Pro Sports-Med Chiropractic
Practice address
12062 Valley View St
Suite #133
Garden Grove, CA 92845-1737
Phone
(714) 892-0888
Fax
(714) 892-9171
NPI assigned
Jan 22, 2007
Organization subpart
Yes
Parent organization
RATTRAY CHIROPRACTIC CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Authorized official

Name
Dr. Robbrey Lane Rattray, D.C., C.C.S.P.
Title
President
Phone
(714) 892-0888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X DC19952 CA Primary

Addresses

Primary practice location

12062 Valley View St
Suite #133
Garden Grove, CA 92845-1737

Mailing address

12062 Valley View St
Suite #133
Garden Grove, CA 92845-1737
Phone (714) 892-0888

Other names 1

  • Pro Sports-Med Chiropractic Doing business as

National Provider Directory

National Provider Directory
Part of
Rattray Chiropractic Corp

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1295889947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12062 VALLEY VIEW ST",
            "address_2": "SUITE #133",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451737",
            "telephone_number": "714-892-0888",
            "fax_number": "714-892-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12062 VALLEY VIEW ST",
            "address_2": "SUITE #133",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451737",
            "telephone_number": "714-892-0888",
            "fax_number": "714-892-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RATTRAY CHIROPRACTIC CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RATTRAY CHIROPRACTIC CORP",
        "enumeration_date": "2007-01-22",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "RATTRAY",
        "authorized_official_first_name": "ROBBREY",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-892-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., C.C.S.P."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC19952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro Sports-Med Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.