Organization Active NPI

Village Medical Group

  • Chiropractor
  • Chula Vista, CA
National Provider Identifier
1720454655
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VILLAGE MEDICAL GROUP
Practice address
276 Chruch Ave
Suite B
Chula Vista, CA 91910-2729
Phone
(619) 651-8939
Fax
(619) 362-9616
NPI assigned
Aug 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Authorized official

Name
Dr. Joshua Sameer Pal, MD
Title
President
Phone
(619) 651-8939

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CA Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X CA
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X CA
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X CA

Addresses

Primary practice location

276 Chruch Ave
Suite B
Chula Vista, CA 91910-2729

Mailing address

276 Chruch Ave
Suite B
Chula Vista, CA 91910-2729
Phone (619) 651-8939

National Provider Directory

National Provider Directory

Locations

276 Church Ave
Ste B
Chula Vista, CA 91910
Phone (619) 651-8939

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1720454655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 CHRUCH AVE",
            "address_2": "SUITE B",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102729",
            "telephone_number": "619-651-8939",
            "fax_number": "619-362-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 CHRUCH AVE",
            "address_2": "SUITE B",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102729",
            "telephone_number": "619-651-8939",
            "fax_number": "619-362-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "PAL",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "SAMEER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-651-8939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.