Raphael R Vacco, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC21542 Issued in CA

Practice address

41877 Enterprise Cir N
Suite 200-E
Temecula, CA 92590-5656

Phone

(951) 296-5880

Fax

(951) 296-5880

NPI assigned

May 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Ralph Robert Vacco Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1639370968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41877 ENTERPRISE CIR N",
            "address_2": "SUITE 200-E",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905656",
            "telephone_number": "951-296-5880",
            "fax_number": "951-296-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41877 ENTERPRISE CIR N",
            "address_2": "SUITE 200-E",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905656",
            "telephone_number": "951-296-5880",
            "fax_number": "951-296-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACCO",
        "first_name": "RAPHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "DC21542",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RALPH",
            "last_name": "VACCO",
            "middle_name": "ROBERT",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patrick William Utnehmer, OD
• Michelle Uttaburanont, M.D.
• Edmund Uy
• Arthur Uyesugi
• Kayla Vaccaro, RBT
• Vail Ranch Family Chiropractic, Inc.
• Vail Ranch Vision Inc
• Anne-Marie Vaillant-Newman, P.T.,M.A.
• Leslie Valadez Monreal
• Elicia Valadez

• Chiropractor in Temecula, CA
• Providers in Temecula, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.