Organization Active NPI

Upland Spine & Rehab

  • Chiropractor
  • Upland, CA
National Provider Identifier
1477829885
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32005 Issued in CA
Legal business name
UPLAND SPINE & REHAB
Practice address
1125 E 16TH St
Suite 4
Upland, CA 91784-9179
Phone
(909) 297-3531
Fax
(909) 297-3004
NPI assigned
Mar 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Authorized official

Name
Dr. Senkosal Uy, D.C.
Title
Doctor of Chiropractic
Phone
(909) 297-3531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 32005 CA Primary

Addresses

Primary practice location

1125 E 16TH St
Suite 4
Upland, CA 91784-9179

Mailing address

1125 E 16TH St
Suite 4
Upland, CA 91784-9179
Phone (909) 297-3531

National Provider Directory

National Provider Directory

Locations

1125 E 16th St
Ste 4
Upland, CA 91784
Phone (909) 297-3531

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1477829885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E 16TH ST",
            "address_2": "SUITE 4",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917849179",
            "telephone_number": "909-297-3531",
            "fax_number": "909-297-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E 16TH ST",
            "address_2": "SUITE 4",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917849179",
            "telephone_number": "909-297-3531",
            "fax_number": "909-297-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLAND SPINE & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "UY",
        "authorized_official_first_name": "SENKOSAL",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "909-297-3531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.