Active NPI
Delos Soehren Jr., D.C.
- Chiropractor
- La Quinta, CA
National Provider Identifier
1619107927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC30014
- Practice address
- 79245 Corporate Center Dr
Suite 100
La Quinta, CA 92253-7247 - Phone
- (760) 771-5450
- NPI assigned
- Jul 21, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC30014 | CA | Primary |
| Radiology Chiropractor | 111NR0200X | RHC 00166643 | CA |
Addresses
Primary practice location
79245 Corporate Center Dr
Suite 100
La Quinta, CA 92253-7247
Mailing address
79245 Corporate Center Dr
Suite 100
La Quinta, CA 92253-7247
Phone (760) 771-5450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC30014 | CA | MD | Chiropractor |
| RHC 00166643 | CA | MD | Radiology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Health and Wellness, LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Elite Health and Wellness
- Chiropractor
- La Quinta, CA
- NPI 1427368976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248134400000",
"number": "1619107927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79245 CORPORATE CENTER DR",
"address_2": "SUITE 100",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922537247",
"telephone_number": "760-771-5450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79245 CORPORATE CENTER DR",
"address_2": "SUITE 100",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922537247",
"telephone_number": "760-771-5450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOEHREN",
"first_name": "DELOS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-21",
"last_updated": "2009-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC30014",
"primary": true
},
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "CA",
"license": "RHC 00166643",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Quinta, CA
- Trishta Siqueiros-Villalta
- Robert Siskin
- Jason Matthew Smith, PTA
- Karen Renee Snake
- Social Services of Southern California a Licensed Clinical Social Work (Your Space Counseling)
- Rita Soto, DDA
- Nash Sourial, D.D.S.
- Kari Elizabeth Sower, NP
- Balachandran Dobli Srinivasan, MD, MD
- St Mary Corp Inc (Pharmacy of the Desert)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.