Active NPI
Melissa Anne Nagare, DC, LAC
- Chiropractor
- Whittier, CA
National Provider Identifier
1922297829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 30706
- Practice address
- 16200 Amber Valley Dr
Whittier, CA 90604-4051 - Phone
- (562) 947-3386
- Fax
- (562) 902-3350
- NPI assigned
- Oct 17, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 11936 | CA | |
| Chiropractor | 111N00000X | 30706 | CA | Primary |
Addresses
Primary practice location
16200 Amber Valley Dr
Whittier, CA 90604-4051
Mailing address
16200 Amber Valley Drive
Whittier, CA 90604-4051
Phone (562) 947-3386
Other names 1
- Dr. Melissa Nagare Kimura
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 |
|---|---|---|---|
| 30706 | CA | MD | Chiropractor |
| 11936 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California University of Health Sciences | Current | Accepting new patients |
Locations
16200 Amber Valley Dr
Whittier, CA 90604
Phone (562) 943-7125
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- melissa.nagare.1@29676.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Whittier, CA
- NPI 1598172983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1922297829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16200 AMBER VALLEY DRIVE",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906044051",
"telephone_number": "562-947-3386",
"fax_number": "562-902-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16200 AMBER VALLEY DR",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906044051",
"telephone_number": "562-947-3386",
"fax_number": "562-902-3350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGARE",
"first_name": "MELISSA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "DC, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-17",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "11936",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "30706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "KIMURA",
"middle_name": "NAGARE",
"prefix": "DR.",
"credential": "DC, L.AC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.