Dr. Porter Sports Chiropractic & Wellness Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

31635 Issued in CA

Legal business name

DR. PORTER SPORTS CHIROPRACTIC & WELLNESS INC.

Practice address

2345 Erringer Rd Ste 210
Simi Valley, CA 93065-2250

Phone

(805) 582-0770

Fax

(805) 582-0003

NPI assigned

Jun 13, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Elena M Porter, DC

Title

Chiropractor

Phone

(805) 582-0770

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1770076796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 ERRINGER RD STE 210",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652250",
            "telephone_number": "805-582-0770",
            "fax_number": "805-582-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 ERRINGER RD STE 210",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652250",
            "telephone_number": "805-582-0770",
            "fax_number": "805-582-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PORTER SPORTS CHIROPRACTIC & WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "805-582-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "31635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Primary Care Clinic/Center in California

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