Placer Wellness Medical Group Inc

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

DC312960 Issued in CA

Legal business name

PLACER WELLNESS MEDICAL GROUP INC

Practice address

6540 Lonetree Blvd
Suite 200
Rocklin, CA 95765-5874

Phone

(916) 797-3030

Fax

(916) 797-0505

NPI assigned

Apr 8, 2010

Last updated

Apr 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Laura Wilson

Title

Cfo

Phone

(916) 797-3030

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1578889010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6540 LONETREE BLVD",
            "address_2": "SUITE 200",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655874",
            "telephone_number": "916-797-3030",
            "fax_number": "916-797-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6540 LONETREE BLVD",
            "address_2": "SUITE 200",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655874",
            "telephone_number": "916-797-3030",
            "fax_number": "916-797-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLACER WELLNESS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "916-797-3030",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A30174",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC312960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elise Lorraine Planty, LM
• Catherine Plunkett Yarwood
• Vladlen Pogorelov, FNP
• Jana Polishchuk
• Julie Pool, LCSW

• Rehabilitation Chiropractor in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Rehabilitation Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.

Verify at the official NPI Registry.