Organization Active NPI

Maddalena Chiropractic

  • Chiropractor
  • Ventura, CA
National Provider Identifier
1588859177
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24826 Issued in CA
Legal business name
MADDALENA CHIROPRACTIC
Practice address
1732 Palma Dr
Suite 104
Ventura, CA 93003-5796
Phone
(805) 642-6565
Fax
(805) 642-6524
NPI assigned
Sep 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Authorized official

Name
Dr. Larry Maddalena, DC
Title
President
Phone
(805) 642-6565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC24826 CA Primary

Addresses

Primary practice location

1732 Palma Dr
Suite 104
Ventura, CA 93003-5796

Mailing address

1732 Palma Dr
Suite 104
Ventura, CA 93003-5796
Phone (805) 642-6565

National Provider Directory

National Provider Directory

Locations

1732 Palma Dr
Ste 104
Ventura, CA 93003
Phone (805) 642-6565

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1588859177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 PALMA DR",
            "address_2": "SUITE 104",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035796",
            "telephone_number": "805-642-6565",
            "fax_number": "805-642-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 PALMA DR",
            "address_2": "SUITE 104",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035796",
            "telephone_number": "805-642-6565",
            "fax_number": "805-642-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADDALENA CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "MADDALENA",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-642-6565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.