Peterson Chiropractic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PETERSON CHIROPRACTIC

Practice address

15911 Pomona Rincon Rd Ste 140
Chino Hills, CA 91709-5567

Phone

(909) 334-2230

NPI assigned

Dec 11, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Derrik Peterson, DC

Title

Owner

Phone

(909) 334-2230

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1467090290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15911 POMONA RINCON RD STE 140",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095567",
            "telephone_number": "909-334-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15911 POMONA RINCON RD STE 140",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095567",
            "telephone_number": "909-334-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "DERRIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-334-2230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ChiroFusion",
            "affiliation": "N",
            "endpointDescription": "cloud based EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15911 Pomona Rincon Rd Ste 140",
            "city": "Chino Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917095567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jesseca Perez
• Sonia Perez, RRT, CPFT, NPS, RCP
• Charlothy Pernillo
• Person Centered Health Services PC
• Cathy Eileen Peters
• Derrik Brian Peterson, DC
• Diem Quynh Pham, D.O.
• Jimmy Bao Pham, DDS
• Tiffany Pham, OD
• Uyen Phuong Pham, DDS

• Clinic/Center in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.