Organization Active NPI

Daniel P Sullivan D C a Chiropractic Corp

  • Chiropractor
  • West Covina, CA
National Provider Identifier
1891961025
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC17336 Issued in CA
Legal business name
DANIEL P SULLIVAN D C A CHIROPRACTIC CORP
Practice address
811 S Glendora Ave
West Covina, CA 91790-4202
Phone
(626) 960-5096
NPI assigned
May 7, 2008
Last updated
Oct 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Authorized official

Name
Mrs. Yasmin Vega
Title
Manager
Phone
(626) 960-5096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC17336 CA Primary

Addresses

Primary practice location

811 S Glendora Ave
West Covina, CA 91790-4202

Mailing address

811 S Glendora Ave
West Covina, CA 91790-4202
Phone (626) 960-5096

National Provider Directory

National Provider Directory

Locations

811 S Glendora Ave
West Covina, CA 91790
Phone (626) 960-5096

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1891961025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 S GLENDORA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904202",
            "telephone_number": "626-960-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S GLENDORA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904202",
            "telephone_number": "626-960-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL P SULLIVAN D C A CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "YASMIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "626-960-5096",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC17336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.