Tardguila Chiropractic Professional Corp.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC19626 Issued in CA

Legal business name

TARDGUILA CHIROPRACTIC PROFESSIONAL CORP.

Practice address

14650 Aviation Blvd # 100B
Hawthorne, CA 90250-6668

Phone

(310) 961-8792

Fax

(310) 325-3041

NPI assigned

Oct 17, 2017

Last updated

Oct 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Greory Steven Tardaguila, DC

Title

Owner

Phone

(310) 961-8792

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, and the practitioner matching its NPPES authorized official.

• Gregory Steven Tardaguila, D.C.

  • Chiropractor
  • Rancho Palos Verdes, CA
  • NPI 1629162631
  NPD

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1467963462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 AVIATION BLVD # 100B",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506668",
            "telephone_number": "310-961-8792",
            "fax_number": "310-325-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14650 AVIATION BLVD # 100B",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506668",
            "telephone_number": "310-961-8792",
            "fax_number": "310-325-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARDGUILA CHIROPRACTIC PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "TARDAGUILA",
        "authorized_official_first_name": "GREORY",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-961-8792",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC19626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doreena Fe Viduya Taeza, PHYSICAL THERAPIST
• Robin Takashima
• Rhea Riza Talaver, PTA
• Kimberly Tang, MA, LMFT, ET
• Joseph Ngwa Tanifor, NURSE PRACTITIONER
• Artis Abdul-Hakim Tawheed, CHIROPRACTOR
• Lashon Marie Taylor
• Sherwin Jerome Taylor
• Tender Loving Touch Home Health, Inc.
• Jasmine E Terry, MS

• Chiropractor in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.