Vita Chiropractic M Rubino DC Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

VITA CHIROPRACTIC M RUBINO DC INC

Practice address

27600 Bouquet Canyon Rd Ste 106
Santa Clarita, CA 91350-3715

Phone

(661) 296-2131

Fax

(661) 296-0478

NPI assigned

Sep 12, 2022

Organization subpart

No

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

Authorized official

Name

Michelangelo Rubino, DCNPI 1326061383

Title

Ceo/Owner

Phone

(661) 296-2131

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Michelangelo A Rubino, D.C.

  • Chiropractor
  • Santa Clarita, CA
  • NPI 1326061383
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1679295299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27600 BOUQUET CANYON RD STE 106",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913503715",
            "telephone_number": "661-296-2131",
            "fax_number": "661-296-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27600 BOUQUET CANYON RD STE 106",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913503715",
            "telephone_number": "661-296-2131",
            "fax_number": "661-296-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA CHIROPRACTIC M RUBINO DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "RUBINO",
        "authorized_official_first_name": "MICHELANGELO",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "661-296-2131",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326061383",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.