Organization Active NPI

Medicine Woman Chiropractic for Women

  • Rehabilitation Chiropractor
  • Yucca Valley, CA
National Provider Identifier
1679694251
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC15455 Issued in CA
Legal business name
MEDICINE WOMAN CHIROPRACTIC FOR WOMEN
Practice address
56872 29 Palms Hwy
Yucca Valley, CA 92284-2939
Phone
(760) 365-4415
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Dr. Guadalupe Velez Trelles, D.C.NPI 1659443174
Title
Doctor
Phone
(760) 365-4415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X DC15455 CA Primary

Addresses

Primary practice location

56872 29 Palms Hwy
Yucca Valley, CA 92284-2939

Mailing address

56872 29 Palms Hwy
Yucca Valley, CA 92284-2939
Phone (760) 365-4415

National Provider Directory

National Provider Directory

Locations

56872 29 Palms Hwy
Yucca Valley, CA 92284
Phone (760) 365-4415

Practitioners & affiliated clinicians

Practitioners 1

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1679694251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56872 29 PALMS HWY",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842939",
            "telephone_number": "760-365-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56872 29 PALMS HWY",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842939",
            "telephone_number": "760-365-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE WOMAN CHIROPRACTIC FOR WOMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "TRELLES",
        "authorized_official_first_name": "GUADALUPE",
        "authorized_official_middle_name": "VELEZ",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "760-365-4415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC15455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.