Organization Active NPI

Bosten Chiropractic a Corporation

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1659389179
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BOSTEN CHIROPRACTIC A CORPORATION
Practice address
3283 Motor Avenue
Los Angeles, CA 90034
Phone
(310) 559-6900
Fax
(310) 836-8664
NPI assigned
Aug 3, 2006
Last updated
Jan 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Mrs. Michelle Dorene Cleveland-Bosten, D.C.
Title
President
Phone
(310) 559-6900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC17611 CA
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

3283 Motor Avenue
Los Angeles, CA 90034

Mailing address

3283 Motor Avenue
Los Angeles, CA 90034
Phone (310) 559-6900

Other identifiers 1

IdentifierTypeStateIssuer
WDC17611AOtherP PIN

National Provider Directory

National Provider Directory

Locations

2990 S Sepulveda Blvd
Ste 300A
Los Angeles, CA 90064
Phone (424) 286-1177

3283 Motor Ave
Los Angeles, CA 90034
Phone (310) 559-6900

701 Santa Monica Blvd
Ste 320
Santa Monica, CA 90401
Phone (310) 394-6334

Practitioners & affiliated clinicians

Practitioners 1

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": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1659389179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3283 MOTOR AVENUE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90034",
            "telephone_number": "310-559-6900",
            "fax_number": "310-836-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3283 MOTOR AVENUE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90034",
            "telephone_number": "310-559-6900",
            "fax_number": "310-836-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTEN CHIROPRACTIC A CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND-BOSTEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "DORENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-559-6900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC17611",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P PIN",
            "identifier": "WDC17611A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.