Organization Active NPI

My Center for Health

  • Chiropractor
  • Yucca Valley, CA
National Provider Identifier
1730500042
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC16824 Issued in CA
Legal business name
MY CENTER FOR HEALTH
Practice address
55887 Yucca TRL
Yucca Valley, CA 92284-2546
Phone
(310) 829-0453
NPI assigned
Jan 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Dr. Christian Hermann Reichardt, D.C.
Title
Owner
Phone
(310) 600-8872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC16824 CA Primary

Addresses

Primary practice location

55887 Yucca TRL
Yucca Valley, CA 92284-2546

Mailing address

55887 Yucca TRL
Yucca Valley, CA 92284-2546
Phone (310) 829-0453

Other identifiers 1

IdentifierTypeStateIssuer
1710101407OtherNPI

National Provider Directory

National Provider Directory

Locations

55887 Yucca Trl
Yucca Valley, CA 92284
Phone (760) 365-0804

NPI Registry JSON

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

{
    "created_epoch": "1388880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1730500042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55887 YUCCA TRL",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842546",
            "telephone_number": "310-829-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55887 YUCCA TRL",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842546",
            "telephone_number": "310-829-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY CENTER FOR HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-05",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "REICHARDT",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "HERMANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-600-8872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC16824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1710101407",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.