Organization Active NPI

Eric Mumbauer ,D.C. a Chiropractic Corp

  • Corporate Health Clinic/Center
  • San Fernando, CA
National Provider Identifier
1376789099
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
License
DC11343 Issued in CA
Legal business name
ERIC MUMBAUER ,D.C. A CHIROPRACTIC CORP
Doing business as
mumbauer chiropractic
Practice address
601 S Brand Blvd
St 103
San Fernando, CA 91340-4040
Phone
(818) 365-0653
NPI assigned
Dec 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Authorized official

Name
Dr. Eric Phillip Mumbauer, D.C.NPI 1144245283
Title
Ceo
Phone
(818) 365-0653

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X DC11343 CA Primary

Addresses

Primary practice location

601 S Brand Blvd
St 103
San Fernando, CA 91340-4040

Mailing address

601 S Brand Blvd
St 103
San Fernando, CA 91340-4040
Phone (818) 365-0653

Other names 1

  • mumbauer chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

601 S Brand Blvd
Ste 103
San Fernando, CA 91340
Phone (818) 365-0653

Practitioners & affiliated clinicians

Practitioners 1

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": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1376789099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S BRAND BLVD",
            "address_2": "ST 103",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404040",
            "telephone_number": "818-365-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S BRAND BLVD",
            "address_2": "ST 103",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404040",
            "telephone_number": "818-365-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC MUMBAUER ,D.C. A CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "MUMBAUER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-365-0653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "CA",
            "license": "DC11343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mumbauer chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; 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.