Active NPI
Vincent Steven Booth, D.C.
- Chiropractor
- Bakersfield, CA
National Provider Identifier
1740496405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC0143200
- Practice address
- 1927 21St St
Bakersfield, CA 93301-4217 - Phone
- (661) 324-4431
- Fax
- (661) 324-5616
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC0143200 | CA | Primary |
Addresses
Primary practice location
1927 21St St
Bakersfield, CA 93301-4217
Mailing address
1927 21St St
Bakersfield, CA 93301-4217
Phone (661) 324-4431
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC0143200 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Joaquin Wellness & Medical Group, Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Bakersfield, CA
- NPI 1679673719
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392163200000",
"number": "1740496405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1927 21ST ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933014217",
"telephone_number": "661-324-4431",
"fax_number": "661-324-5616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1927 21ST ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933014217",
"telephone_number": "661-324-4431",
"fax_number": "661-324-5616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOTH",
"first_name": "VINCENT",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2014-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC0143200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.