Organization Active NPI

Carlos Rodriguez Chiropractic, Inc.

  • Chiropractor
  • Marina del Rey, CA
National Provider Identifier
1922464502
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27849 Issued in CA
Legal business name
CARLOS RODRIGUEZ CHIROPRACTIC, INC.
Practice address
4519 Admiralty Way
Suite 208
Marina del Rey, CA 90292-5441
Phone
(310) 574-3334
NPI assigned
Jan 12, 2016
Last updated
Jan 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Authorized official

Name
Dr. Carlos Rodriguez, D.C.NPI 1093879587
Title
Doctor of Chiropractic
Phone
(310) 899-1166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC27849 CA Primary

Addresses

Primary practice location

4519 Admiralty Way
Suite 208
Marina del Rey, CA 90292-5441

Mailing address

1511 4TH St
Santa Monica, CA 90401-2310
Phone (310) 899-1166

National Provider Directory

National Provider Directory
Tax ID family
Carlos Rodriguez Chiropractic Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4519 Admiralty Way
Ste 208
Marina del Rey, CA 90292
Phone (310) 574-3334

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1922464502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 4TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012310",
            "telephone_number": "310-899-1166",
            "fax_number": "310-899-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 ADMIRALTY WAY",
            "address_2": "SUITE 208",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925441",
            "telephone_number": "310-574-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS RODRIGUEZ CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "310-899-1166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.