Active NPI
Michael Bosley, DC
- Chiropractor
- Rancho Cucamonga, CA
National Provider Identifier
1396840070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-30293
- Practice address
- 7388 Carnelian St Ste a
Rancho Cucamonga, CA 91730-1160 - Phone
- (909) 945-5072
- NPI assigned
- Sep 14, 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 | DC-30293 | CA | Primary |
Addresses
Primary practice location
7388 Carnelian St Ste a
Rancho Cucamonga, CA 91730-1160
Mailing address
12392 Lily CT
Rancho Cucamonga, CA 91739-1656
Phone (909) 938-6113
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-30293 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1396840070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12392 LILY CT",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917391656",
"telephone_number": "909-938-6113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7388 CARNELIAN ST STE A",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917301160",
"telephone_number": "909-945-5072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSLEY",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC-30293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.