Active NPI
Laura Pallesen, D.C.
- Chiropractor
- San Diego, CA
National Provider Identifier
1871881011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 32554
- Practice address
- 3065 Clairemont Dr Ste B
San Diego, CA 92117-6895 - Phone
- (763) 300-7843
- NPI assigned
- Jul 20, 2011
- Last updated
- Feb 27, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 32554 | CA | Primary |
Addresses
Primary practice location
3065 Clairemont Dr Ste B
San Diego, CA 92117-6895
Mailing address
3065 Clairemont Dr Ste B
San Diego, CA 92117-6895
Phone (763) 300-7843
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32554 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393459200000",
"number": "1871881011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3065 CLAIREMONT DR STE B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921176895",
"telephone_number": "763-300-7843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3065 CLAIREMONT DR STE B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921176895",
"telephone_number": "763-300-7843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALLESEN",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-20",
"last_updated": "2014-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "32554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.