Individual provider Active NPI

Shaun P Just, D.C.

  • Chiropractor
  • Corona, CA
National Provider Identifier
1407023617
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-27782 Issued in CA
Practice address
800 Magnolia Ave
Ste. 109
Corona, CA 92879-3123
Phone
(951) 279-6616
Fax
(951) 279-6815
NPI assigned
May 15, 2008
Last updated
May 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-27782 CA Primary

Addresses

Primary practice location

800 Magnolia Ave
Ste. 109
Corona, CA 92879-3123

Mailing address

800 Magnolia Ave
Ste. 109
Corona, CA 92879-3123
Phone (951) 279-6616

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

LicenseStateTypeSpecialty
DC-27782CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1407023617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAGNOLIA AVE",
            "address_2": "STE. 109",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793123",
            "telephone_number": "951-279-6616",
            "fax_number": "951-279-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAGNOLIA AVE",
            "address_2": "STE. 109",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793123",
            "telephone_number": "951-279-6616",
            "fax_number": "951-279-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUST",
        "first_name": "SHAUN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-27782",
            "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 May 15, 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.