Spine Pro Tardaguila Chiropractic and PT Rehab Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SPINE PRO TARDAGUILA CHIROPRACTIC AND PT REHAB CORP

Practice address

15901 Hawthorne Blvd. 160
Lawndale, CA 90260

Phone

(310) 921-8073

Fax

(310) 921-8060

NPI assigned

Nov 27, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Steven Tardaguila, DCNPI 1629162631

Title

Owner

Phone

(310) 721-8073

Specialties & licenses 1

Addresses

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.

• Gregory Steven Tardaguila, D.C.

  • Chiropractor
  • Rancho Palos Verdes, CA
  • NPI 1629162631
  NPD Authorized official

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1730659392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15901 HAWTHORNE BLVD. 160",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "90260",
            "telephone_number": "310-921-8073",
            "fax_number": "310-921-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15901 HAWTHORNE BLVD. 160",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "90260",
            "telephone_number": "310-921-8073",
            "fax_number": "310-921-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE PRO TARDAGUILA CHIROPRACTIC AND PT REHAB CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "TARDAGUILA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-721-8073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Lawndale, CA
• Providers in Lawndale, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.