NPIMap

Organization Active NPI

Gold Coast Chiropractic Center Inc

  • Chiropractor
  • Cardiff by the Sea, CA
National Provider Identifier
1891894820
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC21155 Issued in CA
Legal business name
GOLD COAST CHIROPRACTIC CENTER INC
Practice address
120 Birmingham Dr
Suite 100
Cardiff by the Sea, CA 92007-1757
Phone
(760) 944-0563
Fax
(760) 944-6773
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Dr. Lorraine Celeste Melendez, D.C.
Title
Vice President
Phone
(760) 944-0563

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC21155 CA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC20080 CA

Addresses

Primary practice location

120 Birmingham Dr
Suite 100
Cardiff by the Sea, CA 92007-1757

Mailing address

120 Birmingham Dr
Suite 100
Cardiff, CA 92007-1757
Phone (760) 944-0563

National Provider Directory

National Provider Directory

Locations

120 Birmingham Dr
Ste 100
Cardiff by the Sea, CA 92007
Phone (760) 944-0563

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1891894820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BIRMINGHAM DR",
            "address_2": "SUITE 100",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920071757",
            "telephone_number": "760-944-0563",
            "fax_number": "760-944-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BIRMINGHAM DR",
            "address_2": "SUITE 100",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920071757",
            "telephone_number": "760-944-0563",
            "fax_number": "760-944-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COAST CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_middle_name": "CELESTE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "760-944-0563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21155",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC20080",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cardiff by the Sea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.