Active Care Chiropractic, Inc. by Dr. Sara

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

DC30532 Issued in CA

Legal business name

ACTIVE CARE CHIROPRACTIC, INC. BY DR. SARA

Practice address

14156 Amargosa Rd Ste G
Victorville, CA 92392-2417

Phone

(760) 955-5558

NPI assigned

May 19, 2015

Last updated

May 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sara Lynn Griffin, DCNPI 1427182104

Title

Owner

Phone

(760) 955-5558

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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.

• Sara Lynn Griffin, D.C.

  • Chiropractor
  • Victorville, CA
  • NPI 1427182104
  Medicare reassignment Care Compare group Authorized official
• Madori J Griffin, DC

  • Pediatric Chiropractor
  • Victorville, CA
  • NPI 1518720770
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1841679206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14156 AMARGOSA RD STE G",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922417",
            "telephone_number": "760-955-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14156 AMARGOSA RD STE G",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922417",
            "telephone_number": "760-955-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE CARE CHIROPRACTIC, INC. BY DR. SARA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-955-5558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "DC30532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Abrantes, RD
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• Helena Acosta
• Maria Ellena Acosta
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• Linda R Adams Pettersson, LVN
• Katherine Bell Adams
• Andrew A Adesida
• Lyle Fredric Adkisson

• Clinic/Center in Victorville, CA
• Providers in Victorville, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.