Organization Active NPI

Randy R. Wirtz Chiropractic Inc.

  • Chiropractor
  • Simi Valley, CA
National Provider Identifier
1487684205
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26326 Issued in CA
Legal business name
RANDY R. WIRTZ CHIROPRACTIC INC.
Practice address
2045 Royal Ave.
Ste.#102
Simi Valley, CA 93065
Phone
(805) 584-2404
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Randy R. Wirtz, D.C.
Title
President/Chiropractor
Phone
(805) 584-2404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC26326 CA Primary

Addresses

Primary practice location

2045 Royal Ave.
Ste.#102
Simi Valley, CA 93065

Mailing address

PO Box 308
Simi Valley, CA 93062-0308
Phone (805) 584-2404

National Provider Directory

National Provider Directory

Locations

2045 Royal Ave
Ste 224
Simi Valley, CA 93065
Phone (805) 584-2404

2045 Royal Ave
Ste 102
Simi Valley, CA 93065
Phone (805) 522-8898

Practitioners & affiliated clinicians

Practitioners 1

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": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1487684205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930620308",
            "telephone_number": "805-584-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 ROYAL AVE.",
            "address_2": "STE.#102",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93065",
            "telephone_number": "805-584-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY R. WIRTZ CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "WIRTZ",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "805-584-2404",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.