Pack Chiropractice, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CA-30341 Issued in CA

Legal business name

PACK CHIROPRACTICE, INC

Practice address

4035 N Fresno St
Suite 103
Fresno, CA 93726-4042

Phone

(559) 227-5307

Fax

(559) 227-3708

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Shaun Robert Matsumoto, DCNPI 1427112028

Title

Owner

Phone

(559) 227-5307

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.

• Shaun Robert Matsumoto, D.C.

  • Chiropractor
  • Dinuba, CA
  • NPI 1427112028
  NPD (past) Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548319098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 N FRESNO ST",
            "address_2": "SUITE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264042",
            "telephone_number": "559-227-5307",
            "fax_number": "559-227-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 N FRESNO ST",
            "address_2": "SUITE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264042",
            "telephone_number": "559-227-5307",
            "fax_number": "559-227-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACK CHIROPRACTICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATSUMOTO",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-227-5307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "CA-30341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pacific Medicl Center of Hope
• Savannah Pacifico
• Iieska Shunatel Packard, LVN
• Kimberly Renee Packard
• Patricia M Packard
• Jessica Nicole Packer
• Nicanor Paclibar, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.