220 Fitness Concepts

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

220 FITNESS CONCEPTS

Practice address

220 Main St Ste C
Venice, CA 90291-5218

Phone

(310) 399-0220

NPI assigned

Mar 14, 2011

Last updated

Sep 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matteo Baker

Title

C.E.O.

Phone

(310) 399-0220

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1386942415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 PIER AVE # 283",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055311",
            "telephone_number": "310-399-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MAIN ST STE C",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902915218",
            "telephone_number": "310-399-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "220 FITNESS CONCEPTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MATTEO",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "310-399-0220"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 2432 Walnut LLC (Clearview Treatment Program)
• Tania Abea-Hernandez
• Kayla Abrams
• Acutonix
• Amanda Adams

• Chiropractor in Venice, CA
• Providers in Venice, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.