Organization Active NPI

Chiropractic Care Pamela M Wachholz Inc

  • Chiropractor
  • Hemet, CA
National Provider Identifier
1932297397
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC21158 Issued in CA
Legal business name
CHIROPRACTIC CARE PAMELA M WACHHOLZ INC
Practice address
760 W Acacia Ave
Suite 113
Hemet, CA 92543-4081
Phone
(951) 652-4357
Fax
(951) 658-6657
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Authorized official

Name
Dr. Pamela Marie Wachholz, D.C
Title
Chiropractor
Phone
(951) 652-4357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC21158 CA Primary

Addresses

Primary practice location

760 W Acacia Ave
Suite 113
Hemet, CA 92543-4081

Mailing address

760 W Acacia Ave
Suite 113
Hemet, CA 92543-4081
Phone (951) 652-4357

Other identifiers 1

IdentifierTypeStateIssuer
DC0211580MedicaidCA

National Provider Directory

National Provider Directory

Locations

760 W Acacia Ave
Ste 113
Hemet, CA 92543
Phone (951) 640-4148

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1932297397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 W ACACIA AVE",
            "address_2": "SUITE 113",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434081",
            "telephone_number": "951-652-4357",
            "fax_number": "951-658-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 W ACACIA AVE",
            "address_2": "SUITE 113",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434081",
            "telephone_number": "951-652-4357",
            "fax_number": "951-658-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CARE PAMELA M WACHHOLZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "WACHHOLZ",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "951-652-4357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0211580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.