Individual provider Active NPI

Jesstofed Manuel Cacho, D.C.

  • Chiropractor
  • Carson, CA
National Provider Identifier
1861716979
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31588 Issued in CA
Practice address
21602 Figueroa St
Unit 21
Carson, CA 90745-1969
Phone
(310) 634-2322
NPI assigned
Mar 18, 2010
Last updated
Mar 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31588 CA Primary

Addresses

Primary practice location

21602 Figueroa St
Unit 21
Carson, CA 90745-1969

Mailing address

21602 Figueroa St
Unit 21
Carson, CA 90745-1969

Other names 1

  • Dr. J.C. Manuel Cacho Other name

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

LicenseStateTypeSpecialty
31588CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1861716979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21602 FIGUEROA ST",
            "address_2": "UNIT 21",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907451969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21602 FIGUEROA ST",
            "address_2": "UNIT 21",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907451969",
            "telephone_number": "310-634-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACHO",
        "first_name": "JESSTOFED",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J.C.",
            "last_name": "CACHO",
            "middle_name": "MANUEL",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.