Active NPI
Adam M Vigil, DC
- Chiropractor
- Chino, CA
National Provider Identifier
1831232560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC21830
- Practice address
- 4455 Riverside Dr
Chino, CA 91710-3923 - Phone
- (909) 628-0090
- NPI assigned
- Feb 14, 2007
- Last updated
- Jul 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | DC21830 | CA | Primary |
Addresses
Primary practice location
4455 Riverside Dr
Chino, CA 91710-3923
Mailing address
4455 Riverside Dr
Chino, CA 91710-3923
Phone (909) 628-0090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100928000882 | CA | Practitioner - Chiropractic | 4880710714 | Practice locations: Chino, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278979200000",
"number": "1831232560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4455 RIVERSIDE DR",
"city": "CHINO",
"state": "CA",
"postal_code": "917103923",
"telephone_number": "909-628-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 RIVERSIDE DR",
"city": "CHINO",
"state": "CA",
"postal_code": "917103923",
"telephone_number": "909-628-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGIL",
"first_name": "ADAM",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2010-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC21830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.