Organization Active NPI

Life Source, a Parlett Corporation

  • Chiropractor
  • San Marcos, CA
National Provider Identifier
1740787449
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34148 Issued in CA
Legal business name
LIFE SOURCE, A PARLETT CORPORATION
Practice address
844 W San Marcos Blvd Ste 101
San Marcos, CA 92078-1137
Phone
(760) 266-7799
NPI assigned
Apr 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Authorized official

Name
Dr. Chase Parlett, DCNPI 1598262578
Title
Chiropractor
Phone
(760) 266-7799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 34148 CA Primary

Addresses

Primary practice location

844 W San Marcos Blvd Ste 101
San Marcos, CA 92078-1137

Mailing address

12153 Middlebrook SQ
San Diego, CA 92128-3756
Phone (858) 231-0304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180622002107 CA Part B Supplier - Clinic/Group Practice 0840545455 Receives reassigned benefits from 1 practitioner
Practice locations: San Marcos, CA

National Provider Directory

National Provider Directory

Locations

844 W San Marcos Blvd
Ste 101
San Marcos, CA 92078
Phone (760) 266-7799

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1740787449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12153 MIDDLEBROOK SQ",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283756",
            "telephone_number": "858-231-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 W SAN MARCOS BLVD STE 101",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781137",
            "telephone_number": "760-266-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SOURCE, A PARLETT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "PARLETT",
        "authorized_official_first_name": "CHASE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "760-266-7799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.