NPIMap

Organization Active NPI

Mani Sports Chiropractic Inc

  • Chiropractor
  • West Hills, CA
National Provider Identifier
1649677279
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31359 Issued in CA
Legal business name
MANI SPORTS CHIROPRACTIC INC
Practice address
22110 Roscoe Blvd
Suite 304
West Hills, CA 91304
Phone
(818) 703-1511
Fax
(818) 703-9911
NPI assigned
Nov 25, 2014
Last updated
Aug 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Authorized official

Name
Irma Banuelos
Title
Office Manager
Phone
(818) 703-1511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31359 CA Primary

Addresses

Primary practice location

22110 Roscoe Blvd
Suite 304
West Hills, CA 91304

Mailing address

22110 Roscoe Blvd
Suite 304
West Hills, CA 91304-3845
Phone (818) 703-1511

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1649677279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22110 ROSCOE BLVD",
            "address_2": "SUITE 304",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913043845",
            "telephone_number": "818-703-1511",
            "fax_number": "818-703-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22110 ROSCOE BLVD",
            "address_2": "SUITE 304",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "91304",
            "telephone_number": "818-703-1511",
            "fax_number": "818-703-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANI SPORTS CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "BANUELOS",
        "authorized_official_first_name": "IRMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-703-1511"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.