Organization Active NPI

Ortiz Chiropractic a Professional Corporation

  • Chiropractor
  • Corona, CA
National Provider Identifier
1730339540
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26464 Issued in CA
Legal business name
ORTIZ CHIROPRACTIC A PROFESSIONAL CORPORATION
Practice address
3833 Bedford Canyon Rd
Suite C102
Corona, CA 92883-0788
Phone
(951) 808-9091
Fax
(951) 808-9702
NPI assigned
Sep 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Dr. Vic Carlo Ortiz, DC
Title
Owner
Phone
(951) 808-9091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC26464 CA Primary

Addresses

Primary practice location

3833 Bedford Canyon Rd
Suite C102
Corona, CA 92883-0788

Mailing address

3833 Bedford Canyon Rd
Suite C102
Corona, CA 92883-0788
Phone (951) 808-9091

National Provider Directory

National Provider Directory

Locations

3833 Bedford Canyon Rd
Ste C102
Corona, CA 92883
Phone (951) 808-9091

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1730339540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 BEDFORD CANYON RD",
            "address_2": "SUITE C102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928830788",
            "telephone_number": "951-808-9091",
            "fax_number": "951-808-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 BEDFORD CANYON RD",
            "address_2": "SUITE C102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928830788",
            "telephone_number": "951-808-9091",
            "fax_number": "951-808-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTIZ CHIROPRACTIC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "VIC",
        "authorized_official_middle_name": "CARLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-808-9091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.