Active NPI
John Baptist Conca, D.C.
- Chiropractor
- Redondo Beach, CA
National Provider Identifier
1427394014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 20942
- Practice address
- 1807 So. Catalina Ave
Redondo Beach, CA 90277 - Phone
- (310) 955-0606
- NPI assigned
- Dec 31, 2012
- Last updated
- Dec 31, 2012
- 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 | 20942 | CA | Primary |
Addresses
Primary practice location
1807 So. Catalina Ave
Redondo Beach, CA 90277
Mailing address
P.O. Box 1116
1
Hermosa Beach, CA 90254
Phone (310) 955-0606
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 |
|---|---|---|---|
| 20942 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fountain of Life Centre | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Case Manager/Care Coordinator
- San Pedro, CA
- NPI 1083162630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356912000000",
"number": "1427394014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1116",
"address_2": "1",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "90254",
"telephone_number": "310-955-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1807 SO. CATALINA AVE",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "90277",
"telephone_number": "310-955-0606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONCA",
"first_name": "JOHN",
"middle_name": "BAPTIST",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-31",
"last_updated": "2012-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "20942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redondo Beach, CA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.