Premier Health of Placerville Inc

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

15474 Issued in CA

Legal business name

PREMIER HEALTH OF PLACERVILLE INC

Practice address

1980 Broadway
Placerville, CA 95667-9001

Phone

(530) 622-3536

Fax

(530) 622-3538

NPI assigned

Apr 9, 2012

Organization subpart

No

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

Authorized official

Name

Cherilyn Bolton

Title

Office Manager

Phone

(530) 622-3536

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Premier Healthcare Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Lee Bernard Kinney, D.C

  • Chiropractor
  • Placerville, CA
  • NPI 1215983077
  NPD (past)
• Brent M Mooney, D.C.

  • Chiropractor
  • Placerville, CA
  • NPI 1306862636
  NPD (past)
• John M Mooney, D.C.

  • Orthopedic Chiropractor
  • Placerville, CA
  • NPI 1003832338
  NPD (past)
• John C Palmer, D.C.

  • Chiropractor
  • Placerville, CA
  • NPI 1881610111
  NPD (past)

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1487910956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 BROADWAY",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956679001",
            "telephone_number": "530-622-3536",
            "fax_number": "530-622-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 BROADWAY",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956679001",
            "telephone_number": "530-622-3536",
            "fax_number": "530-622-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH OF PLACERVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "CHERILYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "530-622-3536"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "15474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1932345410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evgenia Polosina, M.D.
• Loren A Polte, OD
• Kaysee Potter
• Lisbeth L Powell, RNFA
• Precision Eyecare Optometry Placerville Inc
• Premier Healthcare of Placerville
• Kimberly Sue Price
• Susan Price, R.N.
• Dallas Privett
• Daryl Proctor, DDS, MS

• Orthopedic Chiropractor in Placerville, CA
• Providers in Placerville, CA by specialty
• Orthopedic Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.