Wilfredo Untalan Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC28547 Issued in CA

Practice address

5467 N. Cherry Ave
Long Beach, CA 90805-5506

Phone

(562) 799-7900

NPI assigned

Sep 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ricky Ngo Chiropractic Inc.

  • Chiropractor
  • Long Beach, CA
  • NPI 1649295510
  NPD (past)

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1679768139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5467 N. CHERRY AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908055506",
            "telephone_number": "562-799-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5467 N. CHERRY AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908055506",
            "telephone_number": "562-799-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNTALAN",
        "first_name": "WILFREDO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-07",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unity Recuperative Care
• Universal Care
• Universal Care, Inc. Dba Brand New Day
• University of California, Irvine
• Erin Grace Unson
• Irene Unutoa
• Rene Ethan Uong, D.C
• Daman Singh Uppal, DDS
• Khrishunda Upshaw, TRICHOLOGIST/HHP
• Joy Upton, FNP

• Chiropractor in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.