Chiropractic Care of Victor Valley

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC14559 Issued in CA

Legal business name

CHIROPRACTIC CARE OF VICTOR VALLEY

Practice address

18484 US Highway 18
280B
Apple Valley, CA 92307-2375

Phone

(760) 946-4619

Fax

(760) 946-2360

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Bruce G Broughton, D.C.

Title

Owner Dr of Chiropractic

Phone

(760) 946-4619

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346454071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 ARGONAUT",
            "address_2": "280",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564133",
            "telephone_number": "949-598-9999",
            "fax_number": "949-598-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18484 US HIGHWAY 18",
            "address_2": "280B",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072375",
            "telephone_number": "760-946-4619",
            "fax_number": "760-946-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CARE OF VICTOR VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROUGHTON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER    DR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "760-946-4619",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC14559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC0145590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ebony R Cherette
• Sunny CHI Fung Cheung, M.D.
• Amardeep Singh Chharan
• Mandeep Chhina, NP
• Tiombe Kai Chinnery-Cunningham
• Vanessa Lyn Chitry, COUNSELOR
• Abraham K Choi, ACUPUNCTURIST
• Sun Choi
• Choice Healthcare Associates, Inc.
• Choice Physicians Network, Inc.

• Chiropractor in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.