Organization Active NPI

Tao Family Chiropractic, Inc.

  • Chiropractor
  • Camarillo, CA
National Provider Identifier
1326100124
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
17905 Issued in CA
Legal business name
TAO FAMILY CHIROPRACTIC, INC.
Practice address
484 Mobil Ave
Suite 27
Camarillo, CA 93010-6303
Phone
(805) 384-2363
Fax
(805) 384-2364
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
Michinori Tao, DCNPI 1083727150
Title
President
Phone
(805) 384-2363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 17905 CA Primary

Addresses

Primary practice location

484 Mobil Ave
Suite 27
Camarillo, CA 93010-6303

Mailing address

484 Mobil Ave
Suite 27
Camarillo, CA 93010-6303
Phone (805) 384-2363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070402000737 CA Part B Supplier - Clinic/Group Practice 9537263405 Receives reassigned benefits from 1 practitioner
Practice locations: Camarillo, CA

National Provider Directory

National Provider Directory

Locations

484 Mobil Ave
Ste 27
Camarillo, CA 93010
Phone (805) 384-2363

Practitioners & affiliated clinicians

Practitioners 1

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": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1326100124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 MOBIL AVE",
            "address_2": "SUITE 27",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106303",
            "telephone_number": "805-384-2363",
            "fax_number": "805-384-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 MOBIL AVE",
            "address_2": "SUITE 27",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106303",
            "telephone_number": "805-384-2363",
            "fax_number": "805-384-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAO FAMILY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "TAO",
        "authorized_official_first_name": "MICHINORI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-384-2363",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "17905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.