Philip C. Peterson, a Professional Chiropractic Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC15845 Issued in CA

Legal business name

PHILIP C. PETERSON, A PROFESSIONAL CHIROPRACTIC CORPORATION

Practice address

1545 Park St
Paso Robles, CA 93446-2161

Phone

(805) 237-1924

Fax

(805) 237-1953

NPI assigned

Oct 20, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Philip C. Peterson, D.C.

Title

Ceo

Phone

(805) 237-1924

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1972888006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 PARK ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462161",
            "telephone_number": "805-237-1924",
            "fax_number": "805-237-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 PARK ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462161",
            "telephone_number": "805-237-1924",
            "fax_number": "805-237-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP C. PETERSON, A PROFESSIONAL CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-237-1924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC15845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julio Penaloza, PPS
• Megan Nicole Perhach, DPT, PT
• Philip C Peterson, DC
• Tanya Thanh-Nhan Pham, RPH
• Lauren Phelps
• Ricky D Phillips, D.C.
• Juan Manuel Plascencia Lizaola Jr., LCSW
• Laura Diane Plascencia, MS CFY-SLP
• Kacie Elizabeth Poage, OT
• Megan Marie Pollock, PHD

• Chiropractor in Paso Robles, CA
• Providers in Paso Robles, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.