Dr. Amanda Peterson Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC31866 Issued in CA

Legal business name

DR. AMANDA PETERSON CHIROPRACTIC, PC

Practice address

1820 Fullerton Ave Ste 250
Corona, CA 92881-7001

Phone

(951) 818-3084

NPI assigned

Aug 26, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Peterson, DC

Title

Owner/President

Phone

(951) 818-3084

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442016000000",
    "number": "1962879882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 FULLERTON AVE STE 250",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817001",
            "telephone_number": "951-818-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 FULLERTON AVE STE 250",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817001",
            "telephone_number": "951-818-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. AMANDA PETERSON CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-09-12",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "951-818-3084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Corona, CA
• Providers in Corona, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2015; 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.