Premier Health Care Chiropractic & Wellness

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PREMIER HEALTH CARE CHIROPRACTIC & WELLNESS

Practice address

1238 Puerta del Sol Ste 1a
1A
San Clemente, CA 92673-6310

Phone

(949) 492-7488

Fax

(949) 492-6658

NPI assigned

Dec 29, 2010

Last updated

Dec 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Shapero, D.C.NPI 1588710263

Title

Executive Director

Phone

(949) 492-7488

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Bradley C Shapero, DC

  • Chiropractor
  • San Clemente, CA
  • NPI 1588710263
  NPD (past) Authorized official

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1922302314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 AVENIDA PICO",
            "address_2": "SUITE C460",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736957",
            "telephone_number": "949-492-7488",
            "fax_number": "949-492-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 PUERTA DEL SOL STE 1A",
            "address_2": "1A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736310",
            "telephone_number": "949-492-7488",
            "fax_number": "949-492-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH CARE CHIROPRACTIC & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "SHAPERO",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "949-492-7488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DJ451A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Suzanne Potter, DDS
• Sara Pourmand
• Renee Sue Pozza, PHD, RN, FNP-BC, CNS
• Crystal Danielle Prancevic, LMFT
• Precision Metabolix a Medical Corporation
• Sofia Abril Prentiss
• Prime Mading Anesthesia, Inc.
• Anna Prochowska-Shkarovetskyy, RDN
• Project Renew
• Theresa Korbonski Pruitt, RPH

• Clinic/Center in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.