Active NPI
David Michael McCollum, D.C.
- Chiropractor
- Yucca Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC28516
- Practice address
- 56351 29 Palms Hwy Ste C
Yucca Valley, CA 92284-2859 - Phone
- (760) 365-8729
- Fax
- (760) 365-8732
- NPI assigned
- Jan 2, 2007
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC28516 | CA | Primary |
Addresses
Primary practice location
56351 29 Palms Hwy Ste C
Yucca Valley, CA 92284-2859
Mailing address
56351 29 Palms Hwy Ste C
Yucca Valley, CA 92284-2859
Phone (760) 365-8729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
58375 29 Palms Hwy
Yucca Valley, CA 92284-5813
Phone (760) 365-9305
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC28516 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hi-Desert Memorial Health Care District | Current | Accepting new patients | |
| Hi -Desert Memorial Health Care District | Current | Accepting new patients |
Locations
58383 29 Palms Hwy
Yucca Valley, CA 92284
58375 29 Palms Hwy
Yucca Valley, CA 92284
Phone 76036593051604
58383 29 Palms Hwy
Ste 101
Yucca Valley, CA 92284
Phone (760) 820-9229
6530 La Contenta Rd
Ste 100
Yucca Valley, CA 92284
Phone (760) 820-9229
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Morongo Basin Community Health Center
- Federally Qualified Health Center (FQHC)
- Yucca Valley, CA
- NPI 1841612082
-
dba Morongo Basin Community Health Center-29
- Federally Qualified Health Center (FQHC)
- 29 Palms, CA
- NPI 1053733527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1336206325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56351 29 PALMS HWY STE C",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922842859",
"telephone_number": "760-365-8729",
"fax_number": "760-365-8732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56351 29 PALMS HWY STE C",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922842859",
"telephone_number": "760-365-8729",
"fax_number": "760-365-8732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOLLUM",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC28516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.