Active NPI
Jeffrey Jay Cline, DC
- Chiropractor
- Corona, CA
National Provider Identifier
1386711752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC0158910
- Practice address
- 800 Magnolia Ave Ste. 102
Corona, CA 92879 - Phone
- (951) 279-2339
- Fax
- (951) 279-1307
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- No
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 | DC0158910 | CA | Primary |
Addresses
Primary practice location
800 Magnolia Ave Ste. 102
Corona, CA 92879
Mailing address
800 Magnolia Ave Ste. 102
Corona, CA 92879
Phone (951) 279-2339
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC0158910 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1386711752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 MAGNOLIA AVE STE. 102",
"city": "CORONA",
"state": "CA",
"postal_code": "92879",
"telephone_number": "951-279-2339",
"fax_number": "951-279-1307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MAGNOLIA AVE STE. 102",
"city": "CORONA",
"state": "CA",
"postal_code": "92879",
"telephone_number": "951-279-2339",
"fax_number": "951-279-1307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINE",
"first_name": "JEFFREY",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC0158910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.