Sportslab Socal Dr. JC Zegarra Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

32913 Issued in CA

Legal business name

SPORTSLAB SOCAL DR. JC ZEGARRA CHIROPRACTIC PC

Practice address

74 Icon
Foothill Ranch, CA 92610-3000

Phone

(949) 390-9209

Fax

(949) 271-4671

NPI assigned

Jan 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jan Carlo Zegarra, D.C.NPI 1124266135

Title

President

Phone

(787) 234-8371

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jan Carlo Zegarra, D.C.

  • Chiropractor
  • Foothill Ranch, CA
  • NPI 1124266135
  NPD Authorized official

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1861859803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 ICON",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926103000",
            "telephone_number": "949-390-9209",
            "fax_number": "949-271-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 ICON",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926103000",
            "telephone_number": "949-390-9209",
            "fax_number": "949-271-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTSLAB SOCAL DR. JC ZEGARRA CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "ZEGARRA",
        "authorized_official_first_name": "JAN CARLO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-234-8371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Foothill Ranch, CA
• Providers in Foothill Ranch, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.