Carlos Rodriguez Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC27849 Issued in CA

Legal business name

CARLOS RODRIGUEZ CHIROPRACTIC, INC

Doing business as

Prodigy Chiro-Care & Spinal Rehab

Practice address

1511 4TH St
Santa Monica, CA 90401-2310

Phone

(310) 899-1166

Fax

(310) 899-1009

NPI assigned

Feb 28, 2008

Last updated

Feb 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Celso Rodriguez, D.C.NPI 1093879587

Title

Owner/President

Phone

(310) 899-1166

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Prodigy Chiro-Care & Spinal Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Carlos Rodriguez Chiropractic Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Carlos Rodriguez Chiropractic, Inc.

  • Chiropractor
  • Culver City, CA
  • NPI 1316303985
  NPD tax ID
• Carlos Rodriguez Chiropractic, Inc.

  • Chiropractor
  • Marina del Rey, CA
  • NPI 1922464502
  NPD tax ID

Locations

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.

• Carlos Celso Rodriguez, D.C.

  • Chiropractor
  • Santa Monica, CA
  • NPI 1093879587
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1689843187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 4TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012310",
            "telephone_number": "310-899-1166",
            "fax_number": "310-899-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 4TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012310",
            "telephone_number": "310-899-1166",
            "fax_number": "310-899-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS RODRIGUEZ CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "CELSO",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "310-899-1166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI #",
            "identifier": "1093879583",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP #",
            "identifier": "W18633",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prodigy Chiro-Care & Spinal Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cardiology Consultants of Santa Monica Inc
• Edson Enrique Carias
• Tanya Marie Cariveau, PA-C
• Peter Carley, MFT
• Paul Carlo, LCSW, PHD.
• Sari Susanna Carlson, LCSW
• Sophie Gabrielle Carlson, MD
• Courtney Dane Carmichael, NURSE PRACTITIONER
• Timothy J Carmody, M. D.
• Dwayne Donovan Carney, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.