Organization Active NPI

Calderon Premier Chiropractic Apc

  • Rehabilitation Chiropractor
  • Fontana, CA
National Provider Identifier
1902231186
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC20932 Issued in CA
Legal business name
CALDERON PREMIER CHIROPRACTIC APC
Practice address
8832 Sierra Ave
Fontana, CA 92335-8649
Phone
(909) 854-4900
NPI assigned
Sep 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Authorized official

Name
Dr. Victor Calderon, DC
Title
Chiropractor
Phone
(909) 854-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X DC20932 CA Primary

Addresses

Primary practice location

8832 Sierra Ave
Fontana, CA 92335-8649

Mailing address

8832 Sierra Ave
Fontana, CA 92335-8649
Phone (909) 854-4900

Other identifiers 1

IdentifierTypeStateIssuer
DC20932OtherCALICENSE#

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1902231186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8832 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923358649",
            "telephone_number": "909-854-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8832 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923358649",
            "telephone_number": "909-854-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDERON PREMIER CHIROPRACTIC APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "909-854-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC20932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "DC20932",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.