Organization Active NPI

Paul Dante Jacoy, DC Inc.

  • Chiropractor
  • Pasadena, CA
National Provider Identifier
1831250190
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PAUL DANTE JACOY, DC INC.
Practice address
610 N Lake Ave
Pasadena, CA 91101-1220
Phone
(626) 585-1616
Fax
(626) 585-1686
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
Dr. Paul Dante Jacoy, DC
Title
Owner
Phone
(626) 585-1616

Specialties & licenses 1

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

Addresses

Primary practice location

610 N Lake Ave
Pasadena, CA 91101-1220

Mailing address

610 N Lake Ave
Pasadena, CA 91101-1220
Phone (626) 585-1616

Other names 1

  • PASADENA CHIROPRACTIC CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

610 N Lake Ave
Pasadena, CA 91101
Phone (626) 585-1616

48N El Molino Ave
102
Pasadena, CA 91101
Phone (626) 585-1616

Practitioners & affiliated clinicians

Practitioners 2

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1831250190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011220",
            "telephone_number": "626-585-1616",
            "fax_number": "626-585-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011220",
            "telephone_number": "626-585-1616",
            "fax_number": "626-585-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL DANTE JACOY, DC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "JACOY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DANTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-585-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PASADENA CHIROPRACTIC CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 23, 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.

Verify at the official NPI Registry.