Organization Active NPI

Peninsula Spine & Sports Rehab, a Rommel Hindocha Chiropractic Corp.

  • Chiropractor
  • San Mateo, CA
National Provider Identifier
1548599145
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-28240 Issued in CA
Legal business name
PENINSULA SPINE & SPORTS REHAB, A ROMMEL HINDOCHA CHIROPRACTIC CORP.
Practice address
101 S San Mateo Dr
Suite 200
San Mateo, CA 94401-3819
Phone
(650) 347-2225
Fax
(650) 242-8802
NPI assigned
Dec 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Dr. Rommel Hindocha, D.C.
Title
President/Owner
Phone
(650) 347-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC-28240 CA Primary

Addresses

Primary practice location

101 S San Mateo Dr
Suite 200
San Mateo, CA 94401-3819

Mailing address

101 S San Mateo Dr
Suite 200
San Mateo, CA 94401-3819
Phone (650) 347-2225

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1548599145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR",
            "address_2": "SUITE 200",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013819",
            "telephone_number": "650-347-2225",
            "fax_number": "650-242-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR",
            "address_2": "SUITE 200",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013819",
            "telephone_number": "650-347-2225",
            "fax_number": "650-242-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA SPINE & SPORTS REHAB, A ROMMEL HINDOCHA CHIROPRACTIC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "HINDOCHA",
        "authorized_official_first_name": "ROMMEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "650-347-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-28240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.