Robertson Mamigonian Central Coast Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC34023 Issued in CA

Legal business name

ROBERTSON MAMIGONIAN CENTRAL COAST CHIROPRACTIC INC

Practice address

881 Oak Park Blvd
Pismo Beach, CA 93449-3293

Phone

(805) 473-0900

Fax

(805) 473-8941

NPI assigned

Mar 27, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra L Infante-Garcia

Title

Biller

Phone

(805) 245-9707

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Troy Gus Garabedian, D.C.

  • Chiropractor
  • Prather, CA
  • NPI 1972925774
  NPD (past)
• Dennis Michael Robertson, D.C.

  • Chiropractor
  • Fresno, CA
  • NPI 1275688921
  NPD (past)
• Viengkhone Sayadeth

  • Massage Therapist
  • Fresno, CA
  • NPI 1083306245
  NPD (past)

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1861997348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5649 N PALM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 OAK PARK BLVD",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493293",
            "telephone_number": "805-473-0900",
            "fax_number": "805-473-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTSON MAMIGONIAN CENTRAL COAST CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "INFANTE-GARCIA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "805-245-9707",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC34023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiology Associates of San Luis Obispo
• Alexandra Renfrow
• Dennis Raoul Richardson, O.D.
• Riffelchiropractic
• Rand Cecil Ritchie, MD
• Scott E Robertson, MD
• Schuyler Siddoway Rockwood, DO
• Andrew Rodriguez, DPT
• Jennifer Marie-Caroline Rogez
• Carol N Rowsemitt, PHD, RN, FNP

• Chiropractor in Pismo Beach, CA
• Providers in Pismo Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.