Organization Active NPI

Llantada Chiropractic a Professional Corporation

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1649436486
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
COR2360 Issued in CA
Legal business name
LLANTADA CHIROPRACTIC A PROFESSIONAL CORPORATION
Practice address
5252 Balboa Ave Ste 701
San Diego, CA 92117-6930
Phone
(858) 384-6556
Fax
(858) 225-8320
NPI assigned
Jul 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Authorized official

Name
Rumel Mendoza Llantada, DC
Title
Clinic Director
Phone
(858) 384-6556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X COR2360 CA Primary

Addresses

Primary practice location

5252 Balboa Ave Ste 701
San Diego, CA 92117-6930

Mailing address

5252 Balboa Ave Ste 701
San Diego, CA 92117-6930
Phone (858) 384-6556

National Provider Directory

National Provider Directory

Locations

5252 Balboa Ave
Ste 701
San Diego, CA 92117
Phone (619) 857-2528

5252 Balboa Ave
Ste 301
San Diego, CA 92117
Phone (858) 560-4460

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1649436486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 701",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176930",
            "telephone_number": "858-384-6556",
            "fax_number": "858-225-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 701",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176930",
            "telephone_number": "858-384-6556",
            "fax_number": "858-225-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLANTADA CHIROPRACTIC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "LLANTADA",
        "authorized_official_first_name": "RUMEL",
        "authorized_official_middle_name": "MENDOZA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "858-384-6556",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "COR2360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.