Garcia & Kambourakis Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-31351 Issued in CA

Legal business name

GARCIA & KAMBOURAKIS CHIROPRACTIC, INC

Practice address

128 Agate Ave Ste C
Balboa Island, CA 92662-1085

Phone

(949) 723-0702

Fax

(949) 723-0026

NPI assigned

Feb 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Thomas Garcia, D.C.

Title

President/Chiropractor

Phone

(949) 723-0702

Specialties & licenses 3

Addresses

Other names 1

• Island Chiropractic Physical Therapy and Massage Doing business as

Locations

Practitioners 1

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

• Christie Marie Collier, D.C.

  • Chiropractor
  • Newport Beach, CA
  • NPI 1376695155
  NPD (past)

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1881991750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 AGATE AVE STE C",
            "city": "BALBOA ISLAND",
            "state": "CA",
            "postal_code": "926621085",
            "telephone_number": "949-723-0702",
            "fax_number": "949-723-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 AGATE AVE STE C",
            "city": "BALBOA ISLAND",
            "state": "CA",
            "postal_code": "926621085",
            "telephone_number": "949-723-0702",
            "fax_number": "949-723-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARCIA & KAMBOURAKIS CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "949-723-0702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-31351",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-28103",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT-5678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Chiropractic Physical Therapy and Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.