NPIMap

Organization Active NPI

Vital Head and Spinal Care, a Licata Chiropractic Corporation

  • Chiropractor
  • Pasadena, CA
National Provider Identifier
1790936805
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3240 Issued in CA
Legal business name
VITAL HEAD AND SPINAL CARE, A LICATA CHIROPRACTIC CORPORATION
Practice address
131 N El Molino Ave Ste 150
Pasadena, CA 91101-4149
Phone
(626) 564-8900
Fax
(626) 564-8902
NPI assigned
Oct 7, 2008
Last updated
Nov 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Authorized official

Name
Giancarlo Licata, DCNPI 1285803080
Title
Doctor
Phone
(626) 564-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3240 CA Primary

Addresses

Primary practice location

131 N El Molino Ave Ste 150
Pasadena, CA 91101-4149

Mailing address

131 N El Molino Ave Ste 150
Pasadena, CA 91101-4149
Phone (626) 564-8900

National Provider Directory

National Provider Directory

Locations

131 N El Molino Ave
Ste 150
Pasadena, CA 91101
Phone (626) 564-8900

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1790936805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N EL MOLINO AVE STE 150",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911014149",
            "telephone_number": "626-564-8900",
            "fax_number": "626-564-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N EL MOLINO AVE STE 150",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911014149",
            "telephone_number": "626-564-8900",
            "fax_number": "626-564-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL HEAD AND SPINAL CARE, A LICATA CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "LICATA",
        "authorized_official_first_name": "GIANCARLO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "626-564-8900",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "3240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.