Organization Active NPI

Rise Medical Center a Professional Corporation

  • Chiropractor
  • Bonita, CA
National Provider Identifier
1326378100
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28449 Issued in CA
Legal business name
RISE MEDICAL CENTER A PROFESSIONAL CORPORATION
Practice address
5030 Bonita Rd
Suite B
Bonita, CA 91902-1700
Phone
(619) 479-7473
Fax
(619) 479-9376
NPI assigned
Dec 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Authorized official

Name
Dr. Jose Candelario
Title
Owner
Phone
(619) 479-7473

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC28449 CA Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A73257 CA

Addresses

Primary practice location

5030 Bonita Rd
Suite B
Bonita, CA 91902-1700

Mailing address

5030 Bonita Rd
Suite B
Bonita, CA 91902-1700
Phone (619) 479-7473

Other names 1

  • R I S E Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

3142 E Plaza Blvd
National City, CA 91950
Phone (619) 475-6417

3065 Rosecrans Pl
San Diego, CA 92110

174 S Rancho Santa Fe Rd
San Marcos, CA 92078
Phone (760) 727-4488

1750 San Pablo Dr
Ste C
San Marcos, CA 92078

1135 Makawao Ave
Ste 202
Makawao, HI 96768
Phone (808) 283-9378

Practitioners & affiliated clinicians

Practitioners 3

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": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1326378100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 BONITA RD",
            "address_2": "SUITE B",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919021700",
            "telephone_number": "619-479-7473",
            "fax_number": "619-479-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 BONITA RD",
            "address_2": "SUITE B",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919021700",
            "telephone_number": "619-479-7473",
            "fax_number": "619-479-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE MEDICAL CENTER A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "CANDELARIO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-479-7473",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28449",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A73257",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R I S E Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bonita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.