Debora Shaleen Potalivo, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC24602 Issued in CA

Practice address

607 Donna Way
San Jacinto, CA 92583-5517

Phone

(951) 654-0803

Fax

(951) 654-9053

NPI assigned

Jul 22, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Debora Rachell Shaleen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407856206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 DONNA WAY",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835517",
            "telephone_number": "951-654-0803",
            "fax_number": "951-654-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 DONNA WAY",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835517",
            "telephone_number": "951-654-0803",
            "fax_number": "951-654-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTALIVO",
        "first_name": "DEBORA",
        "middle_name": "SHALEEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORA",
            "last_name": "SHALEEN",
            "middle_name": "RACHELL",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Chiropractor in San Jacinto, CA
• Providers in San Jacinto, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.