Organization Active NPI

Rancho Vazin Chiropractic Inc

  • Rehabilitation Chiropractor
  • Rancho Palos Verdes, CA
National Provider Identifier
1396519211
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
RANCHO VAZIN CHIROPRACTIC INC
Practice address
29050 S Western Ave Ste 152
Rancho Palos Verdes, CA 90275-0812
Phone
(310) 831-0003
NPI assigned
Nov 10, 2023
Last updated
Nov 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Authorized official

Name
Ms. Astrid A Ordonez
Title
Billing Manager
Phone
(424) 234-1562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X Primary

Addresses

Primary practice location

29050 S Western Ave Ste 152
Rancho Palos Verdes, CA 90275-0812

Mailing address

29050 S Western Ave Ste 152
Rancho Palos Verdes, CA 90275-0812
Phone (310) 831-0003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240226004103 CA Part B Supplier - Clinic/Group Practice 7719322007 Receives reassigned benefits from 1 practitioner
Practice locations: Rancho Palos Verdes, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1396519211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29050 S WESTERN AVE STE 152",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750812",
            "telephone_number": "310-831-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29050 S WESTERN AVE STE 152",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750812",
            "telephone_number": "310-831-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO VAZIN CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "ORDONEZ",
        "authorized_official_first_name": "ASTRID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "424-234-1562",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.