Individual provider Active NPI

Nathan Ian Weller, D.C.

  • Chiropractor
  • Yucca Valley, CA
National Provider Identifier
1922302090
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31859 Issued in CA
Practice address
57378 29 Palms Hwy
Yucca Valley, CA 92284-2927
Phone
(760) 365-1933
NPI assigned
Jan 4, 2011
Last updated
Jan 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31859 CA Primary

Addresses

Primary practice location

57378 29 Palms Hwy
Yucca Valley, CA 92284-2927

Mailing address

57378 29 Palms Hwy
Yucca Valley, CA 92284-2927
Phone (760) 365-1933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180824002076 AZ Practitioner - Chiropractic 3678822582 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31859CAMDChiropractor
8440AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Vascular PLLC Chiropractor CurrentSince Oct 24, 2022 Accepting new patients
Trinity Healthcare Center PLLC CurrentSince Nov 30, 2025 Accepting new patients
Trinity Surgical PLLC Current Accepting new patients
HWW3, LLC Current Accepting new patients
Trinity Healthcare Center PLLC PastSince Mar 27, 2024 Accepting new patients

Locations

18510 E San Tan Blvd
Ste 115
Queen Creek, AZ 85142
Phone (480) 442-3990

3337 N Miller Rd
Ste 102
Scottsdale, AZ 85251
Phone (480) 990-1280

7555 E Osborn Rd
Ste 104
Scottsdale, AZ 85251
Phone (480) 442-3990

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1922302090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57378 29 PALMS HWY",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842927",
            "telephone_number": "760-365-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57378 29 PALMS HWY",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842927",
            "telephone_number": "760-365-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLER",
        "first_name": "NATHAN",
        "middle_name": "IAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.