Individual provider Active NPI

Jesus Torres Cancino, DC

  • Chiropractor
  • Claremont, CA
National Provider Identifier
1699893172
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28436 Issued in CA
Practice address
114 N Indian Hill Blvd Ste G
Claremont, CA 91711-4642
Phone
(909) 630-5257
Fax
(909) 445-1488
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC28436 CA Primary

Addresses

Primary practice location

114 N Indian Hill Blvd Ste G
Claremont, CA 91711-4642

Mailing address

PO Box 441
Claremont, CA 91711-0441
Phone (909) 428-9034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC28436CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1699893172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917110441",
            "telephone_number": "909-428-9034",
            "fax_number": "909-445-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N INDIAN HILL BLVD STE G",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114642",
            "telephone_number": "909-630-5257",
            "fax_number": "909-445-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES CANCINO",
        "first_name": "JESUS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.