Active NPI
Raquel G Palazzolo, D.C.
- Occupational Health Chiropractor
- Pomona, CA
National Provider Identifier
1548579154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Chiropractor
- License
- DC-31268
- Practice address
- 780 W Mission Blvd
Pomona, CA 91766-1537 - Phone
- (909) 620-2777
- Fax
- (909) 620-2811
- NPI assigned
- Sep 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Health Chiropractor | 111NX0100X | DC-31268 | CA | Primary |
Addresses
Primary practice location
780 W Mission Blvd
Pomona, CA 91766-1537
Mailing address
780 W Mission Blvd
Pomona, CA 91766-1537
Phone (909) 620-2777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-31268 | CA | MD | Occupational Health Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285718400000",
"number": "1548579154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 W MISSION BLVD",
"city": "POMONA",
"state": "CA",
"postal_code": "917661537",
"telephone_number": "909-620-2777",
"fax_number": "909-620-2811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 W MISSION BLVD",
"city": "POMONA",
"state": "CA",
"postal_code": "917661537",
"telephone_number": "909-620-2777",
"fax_number": "909-620-2811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALAZZOLO",
"first_name": "RAQUEL",
"middle_name": "G",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-29",
"last_updated": "2010-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0100X",
"taxonomy_group": "",
"desc": "Chiropractor, Occupational Health",
"state": "CA",
"license": "DC-31268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.