NPIMap

Organization Active NPI

Sycamore Chiropractic Inc

  • Chiropractor
  • Vista, CA
National Provider Identifier
1518158690
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 17275 Issued in CA
Legal business name
SYCAMORE CHIROPRACTIC INC
Practice address
750 Sycamore Ave Ste B
Vista, CA 92083-7912
Phone
(760) 598-1021
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Authorized official

Name
Dr. John Richard Clark II, D.C.NPI 1982811493
Title
President
Phone
(760) 598-1021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC 17275 CA Primary

Addresses

Primary practice location

750 Sycamore Ave Ste B
Vista, CA 92083-7912

Mailing address

750 Sycamore Ave Ste B
Vista, CA 92083-7912
Phone (760) 598-1021

National Provider Directory

National Provider Directory

Locations

750 Sycamore Ave
Ste B
Vista, CA 92083
Phone (760) 598-1021

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": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1518158690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 SYCAMORE AVE STE B",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920837912",
            "telephone_number": "760-598-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 SYCAMORE AVE STE B",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920837912",
            "telephone_number": "760-598-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-598-1021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 17275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.