Organization Active NPI

Vail Ranch Family Chiropractic, Inc.

  • Chiropractor
  • Temecula, CA
National Provider Identifier
1578693362
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-27684 Issued in CA
Legal business name
VAIL RANCH FAMILY CHIROPRACTIC, INC.
Practice address
31741 US Highway 79 S
Suite B
Temecula, CA 92592-6800
Phone
(951) 303-3677
Fax
(951) 303-3666
NPI assigned
Mar 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John M McKittrick, D.C.
Title
Chiropractor, Owner
Phone
(951) 303-3677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC-27684 CA Primary

Addresses

Primary practice location

31741 US Highway 79 S
Suite B
Temecula, CA 92592-6800

Mailing address

31741 US Highway 79 S
Suite B
Temecula, CA 92592-6800
Phone (951) 303-3677

National Provider Directory

National Provider Directory

Locations

31741 US Highway 79
Ste B
Temecula, CA 92592
Phone (951) 303-3677

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578693362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31741 US HIGHWAY 79 S",
            "address_2": "SUITE B",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926800",
            "telephone_number": "951-303-3677",
            "fax_number": "951-303-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31741 US HIGHWAY 79 S",
            "address_2": "SUITE B",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926800",
            "telephone_number": "951-303-3677",
            "fax_number": "951-303-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAIL RANCH FAMILY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKITTRICK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR, OWNER",
        "authorized_official_telephone_number": "951-303-3677",
        "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-27684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • 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.