Organization Active NPI

Manzano Chiropractic Inc

  • Chiropractor
  • Santa Clarita, CA
National Provider Identifier
1356006613
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MANZANO CHIROPRACTIC INC
Doing business as
Sports Rehab Institute
Practice address
25000 Avenue Stanford Ste 161
Santa Clarita, CA 91355-4594
Phone
(661) 753-3090
Fax
(855) 563-2545
NPI assigned
Nov 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Rhodel Matthew Manzano, DC, ATC
Title
Owner
Phone
(661) 753-3090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

25000 Avenue Stanford Ste 161
Santa Clarita, CA 91355-4594

Mailing address

23949 Rustico CT
Santa Clarita, CA 91354-1559
Phone (661) 877-0429

Other names 1

  • Sports Rehab Institute Doing business as

National Provider Directory

National Provider Directory

Locations

25000 Avenue Stanford
Ste 161
Valencia, CA 91355
Phone (661) 753-3090

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1356006613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23949 RUSTICO CT",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913541559",
            "telephone_number": "661-877-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25000 AVENUE STANFORD STE 161",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913554594",
            "telephone_number": "661-753-3090",
            "fax_number": "855-563-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANZANO CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "MANZANO",
        "authorized_official_first_name": "RHODEL",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-753-3090",
        "authorized_official_credential": "DC, ATC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports Rehab Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.