Jonathan Anthony Enriquez Carlos, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

36284 Issued in CA

Practice address

1403 Lomita Blvd Ste 301
Harbor City, CA 90710-2085

Phone

(818) 573-8341

NPI assigned

Feb 12, 2022

Last updated

Jun 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jonathan Carlos Chiropractic PC

  dba Bay Harbor Chiropractic and Wellness

  • Chiropractor
  • Harbor City, CA
  • NPI 1063109270
  NPD Authorized official
• Fitness Covered, Inc.

  • Chiropractor
  • Los Angeles, CA
  • NPI 1750169389
  NPD (past)
• Smith Chiropractic

  • Chiropractor
  • Pasadena, CA
  • NPI 1013032721
  NPD (past)
• Smith Chiropractic Clinic, Inc.

  • Orthopedic Chiropractor
  • Pasadena, CA
  • NPI 1215383922
  NPD (past)

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

{
    "created_epoch": "1644624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1578218129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 LOMITA BLVD STE 301",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102085",
            "telephone_number": "818-573-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 LOMITA BLVD STE 301",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102085",
            "telephone_number": "818-573-8341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5815 W Sunset Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900286481",
            "country_code": "US",
            "telephone_number": "310-999-3521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLOS",
        "first_name": "JONATHAN ANTHONY",
        "middle_name": "ENRIQUEZ",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-12",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Ruth Pantua Cansino, CRNA
• Bin Cao, MD
• Maria E. Capaldo, MD
• Daryl Caraan
• Sirpa M Carey, OD
• Richard Douglas Carlson
• Douglas E. Carman, MD
• Barbara A. Carnes, MD
• Donald G Carpi, RRT
• Thermon Lenelle Carrier

• Chiropractor in Harbor City, CA
• Providers in Harbor City, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.