Canyon Lakes Chiropractic Group

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-23525 Issued in CA

Legal business name

CANYON LAKES CHIROPRACTIC GROUP

Practice address

500 Bollinger Canyon Way Ste 15a
San Ramon, CA 94582-5252

Phone

(925) 735-8508

Fax

(925) 735-2374

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Audra Saul, D.C.NPI 1154373439

Title

Owner

Phone

(925) 735-8508

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Audra Saul, D.C.

  • Chiropractor
  • San Ramon, CA
  • NPI 1154373439
  NPD (past) Authorized official

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1437262276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BOLLINGER CANYON WAY STE 15A",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825252",
            "telephone_number": "925-735-8508",
            "fax_number": "925-735-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BOLLINGER CANYON WAY STE 15A",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825252",
            "telephone_number": "925-735-8508",
            "fax_number": "925-735-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON LAKES CHIROPRACTIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "SAUL",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-735-8508",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-23525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josiah Cannon
• Dorin A Cano
• Cantrell Chiropractic Inc.
• Angela L Cantrell, D.C.
• Canyon Chiropractic
• Canyon Lakes Dental
• Ronald L Cao
• Diante Miguel Caraway
• Diana Carbajal
• Alejandra Cardenas-Parada

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.