Individual provider Active NPI

Sandra Anne Ioele, CHIROPRACTOR

  • Chiropractor
  • San Marino, CA
National Provider Identifier
1336237361
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25065 Issued in CA
Practice address
2646 Mission St
San Marino, CA 91108-1638
Phone
(626) 441-2264
Fax
(626) 441-3533
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

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 DC25065 CA Primary

Addresses

Primary practice location

2646 Mission St
San Marino, CA 91108-1638

Mailing address

2646 Mission St
San Marino, CA 91108-1638
Phone (626) 441-2264

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC25065CAMDChiropractor
25065CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336237361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 MISSION ST",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081638",
            "telephone_number": "626-441-2264",
            "fax_number": "626-441-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 MISSION ST",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081638",
            "telephone_number": "626-441-2264",
            "fax_number": "626-441-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IOELE",
        "first_name": "SANDRA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marino, 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.