Active NPI
Milton Paul Secord Sr., DC
- Chiropractor
- Gardena, CA
National Provider Identifier
1851953665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11373
- Practice address
- 15406 Crenshaw Blvd
Gardena, CA 90249-4524 - Phone
- (310) 323-3133
- Fax
- (310) 323-3133
- NPI assigned
- Jul 1, 2019
- 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 | 11373 | CA | Primary |
Addresses
Primary practice location
15406 Crenshaw Blvd
Gardena, CA 90249-4524
Mailing address
3861 W 172ND St
Torrance, CA 90504-1106
Phone (310) 525-4193
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11373 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1851953665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3861 W 172ND ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905041106",
"telephone_number": "310-525-4193",
"fax_number": "310-323-3133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15406 CRENSHAW BLVD",
"city": "GARDENA",
"state": "CA",
"postal_code": "902494524",
"telephone_number": "310-323-3133",
"fax_number": "310-323-3133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SECORD",
"first_name": "MILTON",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-01",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "11373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.